Teacher Recommendation (English)Fork Union Military Academy

Admissions OfficePost Office Box 278

Fork Union, Virginia 23055(434) 842-4205 phone / (800) 462-3862 toll free / (434) 842-4300 fax

Student’s Name ______________________________________________________________________First Middle Last

How long, and in what capacity, have you known this student? ________________________________

____________________________________________________________________________________

Part A - Please rate the student in each of the following areas:

Lowest 10% Below Average Average Above Average Top 10%

Academic Ability

Academic Achievement

Academic Motivation

Part B - For each attribute below, please circle an appropriate rating with 5=strongly agree and 1=strongly disagree. If you do not have enough information to assess him in a specific area, please circle NA.

When compared to his peer group, the student is:

Strongly Disagree Strongly Agree No Answer

Responsible 1 2 3 4 5 NA

Trustworthy and shows integrity 1 2 3 4 5 NA

A positive leader 1 2 3 4 5 NA

Concerned for others 1 2 3 4 5 NA

Self-motivated 1 2 3 4 5 NA

Instructions to parents/guardians: Please deliver this form to an English teacher who has instructed your son in the past two years (with a pre-addressed, stamped envelope). Ask that it be completed and returned to the Fork Union Military Academy Admissions Office.

Instructions to the teacher: Fork Union Military Academy appreciates your candid evaluation of the below-named student’s personal attributes and record of conduct. This form is one of several used to assess a potential student’s capacity to function within the Academy’s structured and disciplined environment. Please return this completed form to the Admissions Office at the address above as soon as possible. Thank you for your assistance.

When compared to his peer group, the student is:

Strongly Disagree Strongly Agree No Answer

Emotionally stable 1 2 3 4 5 NA

Intellectually curious 1 2 3 4 5 NA

Focused and on task 1 2 3 4 5 NA

Organized 1 2 3 4 5 NA

Able to work well with others 1 2 3 4 5 NA

Open to constructive criticism 1 2 3 4 5 NA

Respectful of authority 1 2 3 4 5 NA

Verbally expressive 1 2 3 4 5 NA

A capable writer 1 2 3 4 5 NA

A capable reader 1 2 3 4 5 NA

Well-behaved within the classroom 1 2 3 4 5 NA

Mature for his age 1 2 3 4 5 NA

In the space below, or on a separate sheet of paper, please offer any information that you feel would be relevant to his admission to Fork Union Military Academy.

Signature ____________________________________________ Date __________________________

Name (printed) __________________________________ Subject Area __________________________

School ______________________________________________________________________________

Thank you for your assistance. Please call us at 1-800-GO-2-FUMA if you have any questions or would like admissions information for your office. You may visit us on the web at www.forkunion.com.