TEACHER RECOMMENDATION FORM
For Students Entering Grade 2 through Grade 8
To be
filled out by parent:
Name of
Student:
Applying For Grade:
Student’s
Birthdate: Age:
I, the parent,
understand that I will not have access to this confidential
information
Parent
Signature:
Date:
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To be filled
out by child’s present school and sent to: St. Hilary School
765 Hilary Drive
Tiburon, CA 94920
Attn: Admissions
1. Please
give a summary appraisal of the student, assessing academic and
personal qualities.
2. Do you know of any reason,
academic or personal, why this student would be unable to be
successful at St. Hilary School?
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Specific Recommendation:
____Highly
Recommended ____Recommended
____Not Recommended
Name
Position Date
School
Telephone Number
How long and
in what context have you known this student?
Please comment on this applicant’s special interests, talents, and
abilities:
Should we be
made aware of any factors that have had an impact on this
student’s academic or social progress to date?
Has student ever been suspended
from school for any reason?
__________________________________________________________________________________________________
Comment on
the student as a person (consider maturity, integrity, behavior,
relationship with:
Is there any
additional information that can be better conveyed in a phone
conversation?
If yes, best
time to reach you:
Phone number:
Additional remarks: Please include any family circumstances that
we should be aware of in our evaluation. Please also include
any other comments you wish to make about the applicant.
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I am familiar with the academic
program at St. Hilary School:
Not at all _____
Somewhat _____ Fairly _____ Very Familiar
_____
I recommend this student’s:
Not at all With Mildly With
Reservation Confidence
Academic
ability _____
_____ _____ _____
Character & Personal promise
_____ _____ _____ _____
Overall _____
_____ _____ _____
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