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SPECIAL INTEREST TEACHER

Recommendation Form

To the Teacher:

If you are receiving this form, you are a Coach, Community/Troop/Religious Leader, STEM Special/Electives, or a Visual/Performing Arts Teacher. You have been chosen to evaluate this student as they start the application process for admission to our school for the upcoming academic year. We seek students that are academically strong AND that will benefit from up to a 97% tuition scholarship which is provided to all of our students.

We are a private college-preparatory school for 6th-12th grade students located 20 miles east of downtown Houston, established in 1969. We are situated on 50+ acres in a rural setting and also offer a weekly boarding option for those that may not be able to commute daily.

We look forward to getting to know the candidate through your lens. This three-page form typically takes thirty minutes to complete.

Thank you.

Name of Applicant(Required)

First Last

Grade Applying for(Required)

School Currently Attending(Name & Address)(Required)

To the Applicant: Please give this recommendation form to a SPECIAL INTEREST TEACHER (Coach, Community/Troop/Religious Leader, STEM Special/Electives, Visual or Performing Arts Teacher) who knows you and your strengths well.

NOTE: ONE Special Interest Teacher Recommendation Forms is required.

What are/were the benefits of having this student in your class? (Please discuss positive, memorable traits)

How did this student work in small groups/pairs/whole groups?

What role did they take on in these groups?

Please share a positive memory about this student (an assignment/interaction /group-peer feedback, other)

Please rate this student’s TALENT/ABILITIES IN RELATION to other students whom you have taught:

TALENT / ABILITY

Please choose ONE ⦿ for each category

Commitment to Class

Skill Level

Innate Talent

Understands Directions

Potential

CHARACTER / LEADERSHIP / FOLLOWERSHIP

Please choose ONE ⦿ for each category

Motivation & Initiative

Ability to be coached by adult/teacher

Ability to follow peer leadership

Maturity

Dependability

Responsibility

Integrity

Emotional/Mental Stability

What is the best way to support this student’s learning style/way of being?

MoveDuplicate Settings Delete What is the frequency of interaction that you have had with this student’s family? (Choose below)

What is the frequency of interaction that you have had with this student’s family, parents/guardian? (Circle one)

Once a month

Once per year

N/A have not had any interactions

Other Comments:

Consent

STOP TO CHECK: Have you completed all of the above?

Name of Teacher Completing this form:

First Last

Current Position/Title/Department:

Name of Organization/School:

Organization/School Address:

Direct # for Follow Up:

Email:

Date

DO NOT RETURN THIS FORM to the Student!

Please scan & email this form as an attachment (.jpg, .jpeg, .png, .pdf, etc.) to:

Admissions@chinquapin.org

Subject Line: STUDENT NAME + Teacher Rec. Letter

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SPECIAL INTEREST TEACHER

TALENT / ABILITY

CHARACTER / LEADERSHIP / FOLLOWERSHIP

CORE TEACHER

ABILITY + CONSISTENCY

CHARACTER / LEADERSHIP / FOLLOWERSHIP