EXPLO Teacher Recommendation Form [Domestic]

You must submit a teacher recommendation if: (a) You did not attend EXPLO last year (b) You are applying for a scholarship

TEACHER RECOMMENDATION FORM

TO BE FILLED OUT BY APPLICANT

Final acceptance to the Program is contingent upon the receipt of this evaluation. Please complete all information in the two boxes on the page, except for the evaluator’s signature. Give the form, along with a stamped envelope addressed to EXPLO, to a teacher, guidance counselor, or principal who knows you well. Address the envelope to: EXPLO, The Exploration Center, 932 Washington Street, Norwood, MA 02062

Student’s Current Grade

Student’s Current Age

Name of Student

Student Phone

Student Address

Under the provision of the Family Rights and Privacy Act, I waive any right of access that I might have to this evaluation form.

Signature of Parent/Guardian

Date

Upon completion of this form, please sign below and return the evaluation directly to EXPLO. TO BE FILLED OUT BY EVALUATOR Evaluations may be returned via snail mail to the address above or via email to [email protected].

Name of Evaluator

Evaluator’s Email

School Name

School Phone

School Address

Signature of Evaluator

Date

How long have you known the student?

Please indicate the student’s current grade level:

In what capacity do you know the student?

Are you currently instructing, coaching, or advising the student:

Yes

No

To my knowledge, this student has not been involved in a serious infraction of school/community rules or laws.

True

False If false, please explain on the next page.

Teachers, Guidance Counselors, and Principals: The purpose of this evaluation is to help us better serve students during their summer at EXPLO. We strongly encourage you to be candid and thorough in your responses. Thank you for taking the time to complete this form. We appreciate your assistance. About EXPLO: Exploration Learning (EXPLO) is a global community of explorers shaping the future through transformational learning experiences. An international leader in education innovation inspiring students and teachers to explore the world of people and ideas, and to experience the joy of learning in pursuit of purpose and meaning. EXPLO Summer Programs serve smart and curious students from 40 states and 70 countries in grades 4-12. Many students are introduced to our summer programs by their teachers, and we welcome your referrals. Students come to EXPLO from a wide variety of backgrounds, and we offer a financial aid program to ensure that all socioeconomic groups are represented.

For further information about EXPLO, please visit our website at www.explo.org or contact us at 781.762.7400.

You must submit a teacher recommendation if: (a) You did not attend EXPLO last year (b) You are applying for a scholarship

TEACHER RECOMMENDATION FORM

NAME OF APPLICANT

Please rate the student in the categories listed below. TO BE FILLED OUT BY EVALUATOR

EXCELLENT

AVERAGE

POOR

6

5

4

3

2

1

NA

Eagerness to learn

Ability to adjust to change

Integrity

Concern for others

Emotional Maturity

Self confidence

Ability to work with peers

Relationship with adults

Ability to work independently

Emotional Resilience

I recommend this student for admission:

Enthusiastically

Strongly

Mildly

With Reservations

Not at All

Please describe specifically any attitudes, abilities, or activities that are especially noteworthy. We are particularly interested in those that may affect classroom or residential life. If the student has been involved in a serious infraction of school/community rules or laws please explain.