Etgar 36 Applicant Reference Form

Thank you for completing this reference. Your candid and thoughtful responses about this applicant are an important part of the Etgar 36 application process.

Teacher Information
Your Name*
Prefix First Last
Email*
Name of School*
Subject you teach the applicant*
Applicant Information
The student named below is applying to Etgar 36, a challenging, academic, travel program in which the students journey across America to learn about history, politics and activism. We accomplish this goal by having the participants engage in meetings and discussions with people and organizations that represent various sides of political and historical issues.You are being asked to complete this reference as someone who can provide an accurate picture of the academic and personal qualities of this student. Etgar 36 is an experience that requires a high level of maturity, academic energy, appreciation of diversity of opinion, the ability to think critically, and to articulate thoughts and opinions. We appreciate your candid and thoughtful appraisal of the applicant’s abilities to participate fully in this program both academically and socially.

Please answer the following questions in the space provided. Your candid comments will be held in the strictest confidence. Thank you for your assistance.
Applicant Name*
First Last
How long and in what context have you known the applicant?*
Please characterize the applicant's emotional maturity, his/her ability to interact with peers and adults, collaborate in a group, and be a member of a community. If possible, please provide examples.*
Describe this applicant’s strengths and areas for growth. Consider the qualities such as responsibility, intelligence, and social skills.*
Are you aware of the applicant having any emotional, social, or health related issues?*
If there is any additional information that you would like to share with us, please do so here.*
Ratings
Compared to other students in his or her class, how do you rate this student in terms of:
Creative, original thought
Motivation
Self-confidence
Independence and initiative
Intellectual ability
Academic achievement
Effective class discussion
Potential for growth
Extracurricular accomplishments
Personal qualities and character

Etgar 36 Applicant Reference Form

Teacher Information

Applicant Information

Ratings