EmailMe Form - 7th-12th Teacher Referral

7th-12th Teacher Referral
Teacher Referral Form for 7th-12th Grades

TO THE PARENT:

Please send the link to this form to the student's Math or English teacher to fill out.

The referral form MUST be filled out by the teacher and come from the teacher's email address and not from the parent's.

Student's Name *

First

Last

Student's Current School *

Student's Current Grade

School's Phone

###

####

TO THE TEACHER:

The student listed above is applying for admission to Northlake Christian
School in Covington, Louisiana. Northlake Christian School is a non-denominational coeducational Christian school with a college-preparatory emphasis.

The school seeks to enroll students who have demonstrated potential for academic success, integrity, good citizenship and spiritual sensitivity.

Because you are someone who knows the applicant well, we appreciate your thorough, candid appraisal. This confidential form, along with other items of assessment, will be used by the Admissions Office in evaluating the applicant. Thank you for taking the time to complete this form.

Also, we appreciate your promptness as there are admission deadlines approaching.

Parents will not see the results of this form but it will emailed directly to Northlake Christian School Admissions.

Name of Teacher Completing this form *

First

Last

Teacher's Email (in case we have further questions)

For how long have you known this applicant? *

What words immediately come to mind concerning this student: *

What words immediately come to mind concerning this family’s cooperation and involvement with school? *

What subject have you most recently taught this applicant?

What is the applicant’s current grade point average in your class? *

Academic Skills

Please circle the numbers that best represent the student. We welcome your comments.

Academic potential *

Achievement in relation to potentional *

Motivation *

Study Habits *

Completes Tasks in a Timely Manner *

Organization *

Intellectual Curiosity *

Imagination/Creativity *

Ability to Think/Act independently *

Able to work with others *

Any additional comments on Academic Skills?

Social Skills

Please circle the numbers that best represent the student. We welcome your comments.

Integrity/Ethics *

Additional Comments

Citizenship *

Additional Comments

Spiritual Motivation *

Additional Comments

Intellectual curiosity *

Additional Comments

Creativity *

Additional Comments

Leadership Ability *

Additional Comments

Able to think and act independently *

Additional Comments

Compassionate *

Additional Comments

Willing to work with others *

Additional Comments

General maturity level *

Additional Comments

Emotional maturity level *

Additional Comments

Relates positively with peers *

Additional Comments

Self-Confidence *

Additional Comments

Please use the following scale in your recommendation of the applicant.

Choose one and include any additional comments. *

I recommend this student: *

Any additional Comments we need to know about this student:

Thank you so much for taking the time to complete this form. Your assistance helps us immensely!

This form will be emailed directly to the Office of Admissions at Northlake Christian School.

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