San Jacinto College-North-UB-Student Evaluation

UPWARD BOUND
STUDENT EVALUATION FORM

The following information must be filled out by your English, Math, or Science instructor.

Name of Applicant

First NameLast Name

School

Grade

1. How long have you known the prospective Upward Bound Student?

2. During which semester and year?

3. How would you rate the prospective student’s projected attitudes toward the following:

4. Can you comment on this prospective student’s projected self-image?

5. What grade did the student earn in your class?

Additional Comments

Name of Person Completing Form*

First NameLast Name

Email*

example@example.com

Title

Signature

Date

mm-dd-yyyy