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Grade 10 Trailhead Application Form - 2011-2012 - Employer Registry

Grade 10 Trailhead Application Form - 2011-2012 - Employer Registry

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PAGE 3: Teacher Reference <strong>Form</strong><br />

To be completed by a teacher at the student’s home school:<br />

Teacher's Printed Name: ___________________________________________<br />

To the best of your knowledge, please checkmark the category that best reflects the student’s rating in the following areas:<br />

Responsible and reliable<br />

Makes safe decisions<br />

Works well in a diverse group<br />

Receptive to new ideas<br />

Intellectually curious<br />

Imaginative and creative<br />

Interested in the environment<br />

Works independently<br />

Verbally communicates clearly<br />

Writes ideas clearly<br />

Aware of strengths & limitations<br />

Positive Energy<br />

Takes Initiative<br />

Works well with elementary kids<br />

Organized<br />

Attends class<br />

Please explain why you think this student is a suitable fit for <strong>Trailhead</strong>.<br />

Consistently Often Sometimes Rarely Never Don't know<br />

Describe a challenge this student may experience in an independent learning environment.<br />

Describe how you think this student might work with elementary students in a less structured, outdoor location.<br />

Would you trust this student to make safe decisions on an adventure trip in a wilderness setting Please explain.<br />

Teacher's Signature: __________________________________<br />

www.brontecreekproject.org<br />

staff@brontecreekproject.org<br />

Phone: 905-331-3502<br />

Fax: 905-335-0557

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