Teacher Recommendation (English) - Fork Union Military Academy

Teacher Recommendation (English)Fork Union Military AcademyAdmissions OfficePost Office Box 278Fork Union, Virginia 23055(434) 842-4205 phone / (434) 842-4300 faxInstructions to parents/guardians: Please deliver this form to an English teacherwho has instructed your son in the past two years (with a pre-addressed, stampedenvelope). Ask that it be completed and returned to the Fork Union Military AcademyAdmissions Office.Instructions to the teacher: Fork Union Military Academy appreciates your candidevaluation of the below-named student’s personal attributes and record of conduct. Thisform is one of several used to assess a potential student’s capacity to function within theAcademy’s structured and disciplined environment. Please return this completed formto the Admissions Office at the address above as soon as possible. Thank you for yourassistance.Student’s Name______________________________________________________________________First Middle LastHow long, and in what capacity, have you known this student?_____________________________________________________________________________________________________________________Part A - Please rate the student in each of the following areas:Lowest 10% Below Average Average Above Average Top 10%Academic Ability Academic Achievement Academic Motivation Part B - For each attribute below, please circle an appropriate rating with 5=strongly agree and1=strongly disagree. If you do not have enough information to assess him in a specific area, pleasecircle NA.When compared to his peer group, the student is:Strongly Disagree Strongly Agree No AnswerResponsible 1 2 3 4 5 NATrustworthy and shows integrity 1 2 3 4 5 NAA positive leader 1 2 3 4 5 NAConcerned for others 1 2 3 4 5 NASelf-motivated 1 2 3 4 5 NA

When compared to his peer group, the student is:Strongly Disagree Strongly Agree No AnswerEmotionally stable 1 2 3 4 5 NAIntellectually curious 1 2 3 4 5 NAFocused and on task 1 2 3 4 5 NAOrganized 1 2 3 4 5 NAAble to work well with others 1 2 3 4 5 NAOpen to constructive criticism 1 2 3 4 5 NARespectful of authority 1 2 3 4 5 NAVerbally expressive 1 2 3 4 5 NAA capable writer 1 2 3 4 5 NAA capable reader 1 2 3 4 5 NAWell-behaved within the classroom 1 2 3 4 5 NAMature for his age 1 2 3 4 5 NAIn the space below, or on a separate sheet of paper, please offer any information that you feel would berelevant to his admission to Fork Union Military Academy.Signature_ ____________________________________________Date___________________________Name (printed)___________________________________ Subject Area___________________________School_______________________________________________________________________________Thank you for your assistance. Please call us at 1-800-GO-2-FUMA if you have any questions or wouldlike admissions information for your office. You may visit us on the Web at www.forkunion.com.