University Of North Georgia-Blue Ridge-UB-Teacher-Recommendation

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University of North Georgia
Teacher Recommendation Form

UB recommendations must be from an Academic Core Subject teacher.

Name of Student*

First NameLast Name

Teacher Email*

example@example.com

Student ID

Grade Level

School

Referral Person/Title

Subject(s) Taught Student

Student’s Academic Progress in School

Please rate the student in the following areas

Rows	Exceptional	Above Average	Average	Below Average	No Basis for Judgment
Shows academic potential
Assumes responsibility
Is motivated to achieve
Is proficient in basic skills (Math, Language Arts, Etc.)
Is generally disciplined
Is leader oriented
Has good attendance and punctuality
Works well with others
Accepts corrective criticism
Has a positive sense of self

NOTE: Your comments are most beneficial in the total selection process!

Do you recommend this student for the UNG Upward Bound Program?

Strongly RecommendRecommendRecommend with reservationsDo not recommend

Why/Why Not

What special problems (s) and/or unusual circumstance (s) should UNG Upward Bound be aware of in order to better assist the student?

Teacher's Subject

Teacher's Name

First NameLast Name

Teacher's Signature

Date

mm-dd-yyyy