Evaluation by Mathematics or Science Teacher

2013 Engineering and Computer Science Summer Camps The University of Texas at Arlington College of Engineering Instructions to student: For paper applications, complete the top section, then give this form and an envelope to your mathematics or science teacher. It is your responsibility to see that the sealed envelope containing the evaluation is included in the completed application packet, which must be postmarked by the deadline for your camp. Please type or print.
Student's Name ______________________________________ Current Grade ______________ School ____________________________ Camp student applying to _______

Instructions to teacher: Please complete the following evaluation. When finished, enclose this
form in the envelope, seal it and place your signature across the seal. You may also submit this recommendation by e-mail to engineeringoutreach@uta.edu. Be sure that the student's name and information are included above for us to correctly add this to the student's application. Your evaluation is very important to us for assessing this student. Thank you for your help. Name ______________________________ Grades & Subjects Taught______________________ School address __________________________________________________________________ Phone ______ - ____________________ E-mail _______________________________________ Math or science course you are currently teaching the student: _____________________________ _______________________________________________________________________________ Please place an "X" in the appropriate column for each characteristic listed:
Characteristic General intelligence Mathematical aptitude Science aptitude Initiative / independence Emotional maturity Self-motivation Conduct in class Class participation Ability to work with others Demonstration of self-control Listening skills & direction following Respect for self & others Overall Outstanding Above Average Average Below Average
No Basis to Judge

Would YOU be interested in participating in a UTA engineering summer camp yourself? Yes / No

Feel free to provide additional information about the student that you think might be helpful to the selection process. Use the back of this sheet for comments. Thank you. Signature ______________________________________________________________ Date __________________________________________________________________
Questions can be directed to engineeringoutreach@uta.edu or (817)272-1295.