Rutherford Tutorial Academy
of Middle Tennessee Home Education Association
( 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: Angie Forte, 1113 Spain Hill Road, Lascassas, TN 37085, 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?
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
of Middle Tennessee Home Education Association
( 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: Angie Forte, 1113 Spain Hill Road, Lascassas, TN 37085, 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?
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:______________