International Student Recommendation Form SCHOOL ADMINISTRATOR The student named below has applied for admission to Western Mennonite School. We would appreciate your assistance in completing this checklist to help us assess the student’s ability to meet the academic requirements of Western Mennonite School’s high school program. Thank you for your assistance. Student’s Name:
Date:
Current School:
School Phone:
Administrator: Signed: Do you recommend an international student program for this student? ○ Yes Please rate the student on each of the items below: OutCharacteristics Good Average Poor Standing Ability to work independently ○ ○ ○ ○
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Academic Performance
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Academic Potential
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Conduct/citizenship
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Cooperation with adults
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Honesty
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Leadership
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Motivation
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Participation in activities
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Relations with schoolmates
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Study habits
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Overall evaluation of student
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Outstanding Talents:
Outstanding: Always, almost always, superior Good: Quite often Average: Generally, fair Poor: Rarely, seldom, never, below average N/A: not applicable, never, not observed
Additional Comments:
Extra-Curricular Activities:
Please return this reference form via fax or mail to: Rory Rush Western Mennonite School 9045 Wallace Rd NW Salem, OR 97304 USA
Email Contact: rrush@westernmennoniteschool.org Phone: 503.363.2000 Fax: 503.370.9455