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

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

Very GoodGoodFairPoorNot able to evaluate

Please rate the student in the following areas

	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

Clear
Date

MonthDayYear
mm-dd-yyyy