Reference Form - High Bluff Academy

Student Name

First Last

Reference Name

First Last

Phone

Email

School or Organization You work for:

Position / Subject Area/ Relation to student

How long have you known the applicant?

Please rate the student on the following characteristics as they apply to an academic environment.

Academic Honesty*

Dependability*

Motivation*

Emotional Maturity*

Ability to get along with peers*

Attitude*

Academic Potential*

Quality of written work*

Consistency in homework completion*

Classroom participation*

Comments

We would appreciate some specific comments to help us assess this student.