Student Applicant Name*
Years Known*
Please assess to what level the applicant demonstrates the following qualities:
Communication* Superior Good Average Poor Unknown
Reliability/Dependability* Superior Good Average Poor Unknown
Motivation/Initiative* Superior Good Average Poor Unknown
Self-Discipline* Superior Good Average Poor Unknown
Maturity Level* Superior Good Average Poor Unknown
Quality of Work* Superior Good Average Poor Unknown
Please provide information on the applicant’s strengths, abilities, and work ethic.*
Please list the total amount of credit hours required to issue a diploma within your district:*
Reference Information:
Full Name*
