Student Evaluation Form from Teacher

מתיבתא ליובאוויטש דמיאמיKLURMAN MESIVTA OF MIAMI FLsxcPRIMARY HEBREW TEACHER REFERENCE FORM1) Name of Applicant: ________________________________________ Current Grade: ________2) Institution where you taught applicant:_____________________________________Number of years:_____3) Subject(s) taught: ___________________________________________________________________________4) Circle the choice which best describes the applicant:a) Reads gemorah/loshon kodesh ___excellent ___very good ___good ___fair ___poorb) Understands gemorah/loshon kodesh ___excellent ___very good ___good ___fair ___poorc) Understands mahalach hagemorah ___excellent ___very good ___good ___fair ___poord) Ability to learn and understand Rashi ___excellent ___very good ___good ___fair ___poore) Ability to learn and understand Tosfos ___excellent ___very good ___good ___fair ___poorf) Social skills/interaction with peers ___excellent ___very good ___good ___fair ___poorg) Yiras Shamoyim ___excellent ___very good ___good ___fair ___poorh) General behavior ___excellent ___very good ___good ___fair ___poori) Derech eretz to staff ___excellent ___very good ___good ___fair ___poorj) Derech eretz to peers ___excellent ___very good ___good ___fair ___poor5) Describe how the applicant performs in preparing and in reviewing b’chevrusa:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________6) Describe applicant’s participation/involvement in shiurim:______________________________________________________________________________________________________________________________________________________________________________________7) In your observation, should special considerations be taken in study or social arrangements for applicant:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8) Please add any additional comments about the applicant you feel we should know in making adetermination about his application.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please print your name: _______________________________________Telephone: ________________________Signature: ______________________________________________ Date: ________________________Thank you for your assistance. Kindly submit the completed form to:Klurman MesivtaAttn: Rabbi Yosef Zavdi1140 Alton RdMiami Beach, FL 33139Completed forms may also be faxed or emailed to:(786) 837-2026yzavdi@lecfl.comFor further information:(305) 673-5664