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Rutherford Tutorial Academy

( Recommendation Form )

 

This recommendation form is for a student who is applying to a homeschool tutorial group.  That student should fill out the first three lines of this form and supply a stamped envelope to the person who is making the recommendation.  Please mail this to:

Diane Cothern, 2307 Riverview Dr., Murfreesboro, TN  37129, rather than returning

it to the student.  Thank you for your cooperation.

 

Recommendation for: _________________________________________________ 

 

From:_____________________________Address:__________________________ 

 

Phone (Home):____________________(Office)____________________________ 

 

How long have you known this student?___________________________________  

 

In what capacity/relationship?___________________________________________ 

 

Indicate your assessment of the student in the following categories:  (If you do not

know, please indicate.)

 

Emotional Stability:

 

Sense of Humor:

 

Academic Ability:

 

Respect for Authority:

 

Ability to Work Independently:

 

Ability to Work With Others:

 

Does he/she complete tasks he/she starts?

 

Does this student take responsibility for his/her own actions?

 

Please attach a statement to describe other attributes that make this person a good

candidate for an academic program that requires a high level of cooperation,

maturity and academic independence.

 

Do you recommend this student as an asset to our program:___________________

Signature:_______________________________________   Date:______________

 

 

Rutherford Tutorial Academy

( Recommendation Form )

 

This recommendation form is for a student who is applying to a homeschool tutorial group.  That student should fill out the first three lines of this form and supply a stamped envelope to the person who is making the recommendation.  Please mail this to:

Diane Cothern, 2307 Riverview Dr., Murfreesboro, TN  37129, rather than returning

it to the student.  Thank you for your cooperation.

 

Recommendation for: _________________________________________________ 

 

From:_____________________________Address:__________________________ 

 

Phone (Home):____________________(Office)____________________________ 

 

How long have you known this student?___________________________________  

 

In what capacity/relationship?___________________________________________ 

 

Indicate your assessment of the student in the following categories:  (If you do not

know, please indicate.)

 

Emotional Stability:

 

Sense of Humor:

 

Academic Ability:

 

Respect for Authority:

 

Ability to Work Independently:

 

Ability to Work With Others:

 

Does he/she complete tasks he/she starts?

 

Does this student take responsibility for his/her own actions?

 

Please attach a statement to describe other attributes that make this person a good

candidate for an academic program that requires a high level of cooperation,

maturity and academic independence.

 

Do you recommend this student as an asset to our program:___________________

 

Signature:_______________________________________   Date:______________