Hall Middle School Peer Support 2015-2016

Teacher Recommendation Form

Student Name:_______________________________________________________
This form is a recommendation for the above student to be a tutor or welcome committee
member in the HMS Peer Support program. Please complete this recommendation honestly
and provide all information you feel would be helpful to the tutoring committee. If you have
any questions please contact Norma Shaner or Kelly Britton.
Teacher Name:____________________________________________________
Subject(s) taught to student:__________________________________________
Please rank the student in the following categories by marking the appropriate boxes.
Category

Not Qualified

Poorly Qualified

Somewhat Qualified

Well Qualified Highly Qualified

Academics
Character
Communication
Leadership
Work Ethic
Circle one of the following:
I highly recommend this student
I recommend this student with some reservations
I DO NOT recommend this student
Please explain: If you recommend this student with reservations or DO NOT recommend
the student please explain why. If you have any additional information about the student that
would be helpful to the tutoring committee, please include it here. If necessary, attach a
separate sheet of paper with additional comments.

TEACHERS: PLEASE RETURN THIS TO MS. SHANER or MS. BRITTON WHEN

COMPLETED. Thank you!