Student Recommendation form

Recommender Full Name*

Recommender Title (Teacher/Principal)*

Mobile Number

Name of Student Recommending*

Number of years that you know the applicant

E-Mail Address

This student has a positive outlook in life Always Frequent Seldom Never

This student gives his or her best effort to ensure success. Always Frequent Seldom Never

This student is punctual. Always Frequent Seldom Never

This student is present for classes. Always Frequent Seldom Never

This student cooperates well with others Always Frequent Seldom Never

This student is rude to other students. Always Frequent Seldom Never

This student is rude to teachers. Always Frequent Seldom Never

This student obeys school rules. Always Frequent Seldom Never

This student complies with home works and projects. Always Frequent Seldom Never

This student is respectful. Always Frequent Seldom Never

This student is easy to work with. Always Frequent Seldom Never

This student demonstrates good conduct and values. Always Frequent Seldom Never

This student responds well to correction. Always Frequent Seldom Never

This student perseveres towards goals. Always Frequent Seldom Never

This student is honest. Always Frequent Seldom Never

This student performs well on tests and quizzes. Always Frequent Seldom Never

This student expresses him/herself well verbally. Always Frequent Seldom Never

This student expresses him/herself well in written work. Always Frequent Seldom Never

This student behaves in a mature manner. Always Frequent Seldom Never

This student is responsible. Always Frequent Seldom Never

This student takes initiative for achievement. Always Frequent Seldom Never

This student copes well with challenging situations. Always Frequent Seldom Never

This student engages in negative behavior in the society. Always Frequent Seldom Never

This student has a known disease or handicap Always Frequent Seldom Never

This student suffers from emotional/mental problems. Always Frequent Seldom Never

This student has been abused. Always Frequent Seldom Never

Comments about the Student

I hereby certify that I have known the applicant for the period of time stated above and hereby certify that the information given is accurate to the best of my knowledge.

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Signature of Recommender