Jim Holland Summer Science Research Program Teacher Recommendation Page 2

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Student Name: ________________________________________________________________
Last
First
Middle
Gender:
Female
Male
School Name: ______________________________________
Teacher Evaluation Form: Place a check mark or “X” in the appropriate column for each statement.
Truly
Outstanding
Well Above
Average
Below
No Basis for
Exceptional
Average
Average
Judgment
(Top 10%)
(Top 25%)
(Top 1%)
(Lower 50%)
Eagerness to
learn
General
academic
achievement
Achievement in
Science/Math
Cooperative
(works well with
others)
Ability to follow
instructions
Shows respect
for adults
Self-motivated;
able to work
independently
Disciplined
(focus on task at
hand)
Demonstrates
innate curiosity
Problem-solving
skills
Displays
maturity
Applicant’s overall suitability for program: Please indicate the strength of your overall endorsement of
this applicant by placing a single “X” in one of the boxes:
1
2
3
4
5
6
Truly
Outstanding
Well Above
Average
Below Average No Basis for
Exceptional
(
Average
Judgment
Top 10%)
(Lower 50%)
(Top 1%)
(Top 25%)
______________________________________________________
_____/ _____/ _________
Teacher Signature
Date (mm/dd/yyyy)

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