RECOMMENDATION FOR OUTDOOR SCHOOL COUNSELOR Due April 2, 2013 Applicant Name: Recommended by:
________
Reference Phone Number: ____________________
Reference Email: _________________________________
Relationship to Applicant: (Must be Non-related Adult)
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The student named above is interested in being an Outdoor School counselor responsible for a group of 6th grade students. Listed below are the desired criteria for a student to possess in order to be selected. Your specific assessment will be a confidential one. Please rate this student by circling the number which best reflects him/her for each of the criteria listed. Thank you for your time and effort.
Circle the appropriate letter:
Frequently Occasionally Seldom
• Exhibits strong character integrity which sets a positive example for 6th grade students. • Responds to stressful situations in an emotionally mature manner. • Is able to understand the needs of others. • Is able to communicate with others. • Is able to work as a contributing member of a group. • Displays personal initiative. • Exhibits maturity in making decisions. • Seeks assistance when needed. • Is able to talk to someone rather than at them. • Is able to follow directions. • Responds positively to school rules and regulations. • Possesses a sense of humor. • Is able to follow through on a task. • Participates willingly. • Exhibits resourcefulness. • Projects a positive image, which draws respect from others. • Ability to be absent from school. • Ability to accept constructive criticism. Please Circle:
F
O
S
F F F F F F F F F F F F F F F F F
O O O O O O O O O O O O O O O O O
S S S S S S S S S S S S S S S S S
Comments:
I recommend this student strongly. I recommend this student. I recommend this student with reservation I do not recommend this student
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Additional Comments:
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