English Teacher Reference Form

For the Student and Parent

Fill out the form below.

  • STUDENT AND PARENT WAIVER

    THE FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT OF 1974.

    The English Teacher Reference Form is for admission purposes. As currently interpreted by the Department of Education, the Act provides that applicants who subsequently enroll will have a right to inspect and review the evaluation if it is retained by the Academy, unless that right is waived in writing. Sign your name below only if you wish to waive your right of access.

    I request that the English Teacher Reference Form be sent to St. Johnsbury Academy with the understanding that it will be used for admission purposes.

    I understand that I may not read this reference and agree to waive my right of access.

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  • MM slash DD slash YYYY

For the Teacher

Fill out the form below.

"*" indicates required fields

ENGLISH TEACHER REFERENCE FORM

Your name has been given as a reference by an applicant. The information you provided will be used in the pre-admission process and will not become part of the permanent file. Your assistance is appreciated.

Applicant’s Name*

Please make the following ratings as realistic as possible, keeping in mind that St. Johnsbury Academy offers a comprehensive curriculum providing remedial through Advanced Placement courses in all academic departments.

Outstanding vocational preparation is also available.
Ability to get along with other students:*
Politeness:*
Self-discipline:*
Maturity:*
Study habits & organization:*
Energy:*
Perseverance under pressure:*
Leadership:*
Self-confidence:*
Sense of humor:*
Warmth of Personality:*
Concern for others:*
Reaction to criticism:*
ACADEMIC SKILLS

Achieves academic results per expectations:*
Demonstrates knowledge and accuracy of basic subject skills:*
SUBJECT SPECIFIC SKILLS

Demonstrates strong oral expression and working vocabulary:*
Produces clear written work:*

Next year, what course would be the most approriate for this student?*
Please write a summary statement assessing, in as tangible terms as possible, the candidate’s potential for success in a comprehensive boarding school. We are particularly interested in evidence about character, relative maturity, and potential for academic achievement. Refer to both strong and weak points. If the candidate’s record is not a true index of his/her ability, please explain factors that have affected his/her academic achievements.
Address*