|
SCHOOL
OF PUBLIC SERVICE
AT |
Applicant Information
Name: | | | | | | ||||||
| First | Middle | Last | Sex | | ||||||
Address: | | ||||||||||
| Street | | |||||||||
| | | |||||||||
| City | State | Postal Code | Country | | ||||||
School: | | | |||||||||
| Official Name | | |||||||||
Address: | | | |||||||||
| Street | | |||||||||
| | | | | | ||||||
| City | State | Postal
Code | Country | | ||||||
To the applicant: Fill out the above information and give one copy of this form to
your teacher, and the other copy to your headmaster/principal. Give each of them an envelope, on which you
have written: To the teacher or headmaster: Whenever possible, please offer examples that illustrate your statements
and any additional information you feel is relevant. Please attach additional pages if necessary.
Place this form in the provided envelope, seal the envelope, and sign your
name over the seal. You may then return the completed materials
to the student to be included with his or her application. |
1. Please briefly describe the course(s) in
which you have taught the applicant
Course
name and description | Grade
received | |
| | |
| | |
| | |
| Excellent | Good | Fair | Poor | Comments |
Writing
Ability | | | | | |
Reading
Ability | | | | | |
Achievement | | | | | |
Effort | | | | | |
Maturity | | | | | |
Integrity | | | | | |
Leadership
Potential | | | | | |
Research
Ability | | | | | |
Analytical
ability | | | | | |
Readiness
for College level work | | | | | |
Peer
Interaction | | | | | |
I certify that the information contained herein is true and that I am a teacher, headmaster or qualified representative of the aforementioned high school or secondary school. | |||
| x | | |
| Signature | Date | |