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DuBois Area High School

425 Orient Avenue DuBois, PA 15801


814.371.8111/ www.dasd.k12.pa.us

Teacher Recommendation Form


Applicant Information

Student Name ______________________________________________________________________________

Graduation year _____________ Student # __________________________

Teacher Information

Name ___________________________________________________________________________________

Subject __________________________ Date ____________________________

Background Information

How long have you known the student? ____________________________

In what capacity (i.e. AP English teacher, advisor, coach, etc…) ___________________________________________________

Student Ratings

Co mpared to other students in his/her class, how would you rate this student?
Not observed Excellent Very Good Good Average Below Average
Creativity
Independence
M otivation
Academic Achievement
Writing skills
Discussion skills
Technology skills
Disciplined work habits
Potential for Growth

In the space below, briefly write what you think is important about this person. This can include a description of academic or
personal characteristics.

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