International Applicant Recommendation Form Page 2

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Student Name:____________________________________ 
A
L
, P
D
S
R
 
PPROACH TO
EARNING
ERSONAL
EVELOPMENT AND
OCIAL
ESPONSIBILITY
 
 
Excellent  
Good 
Fair  
 
Poor   
Academic Ability
______
______
______
______ 
Academic Achievement
______ 
______
______
______ 
Intellectual Curiosity
 
______ 
______
______
______           
E ort/Determination
______ 
______
______
______       
Ability to Work Independently
______ 
______
______
______      
Organization
______ 
______
______
______           
Creativity
______ 
______
______
______           
Willingness to take Intellectual Risks 
______ 
______
______
______ 
Concern for Others
 
______ 
______
______
______ 
Honesty/Integrity
 
______ 
______
______
______ 
Self-esteem
______
______
______
______ 
Maturity (relative to age)
 
______ 
______
______
______           
Responsibility
______ 
______
______
______ 
Respect Accorded by Faculty
______ 
______
______
______           
Respect Accorded by Peers
______ 
______
______
______ 
Emotional Stability
______ 
______
______
______ 
Overall Evaluation as a Person
______ 
______
______
______ 
Overall Evaluation as a Student
______ 
______
______
______ 
 
If the applicant is relatively weak or strong in any areas listed above, please elaborate: 
 
 
 
 
 
Please comment on the applicant’s character, citizenship and contributions to your community: 
 
 
 
 
 
 
Please add additional comments on a separate sheet if necessary and send this completed form to: 
 
Diana Garcia-Lavigne 
International Student Program Director 
Thetford Academy 
P.O. Box 190 
Thetford, Vermont 05074 USA 
 
international@thet.net 
Fax: 802-785-4805 
 
 

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