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55

RECOMMENDATION FOR EXTENDED LEARNING PROGRAM

Student: __________________________________________

Grade: __________

Teacher: __________________________________

Instructions:

Teachers, please complete this form and return directly to the principal’s office.

Do

not

return the completed form to the student.

Please rate the following from 1 – 5, with one being the lowest rating and 5 the highest. Please

provide a short narrative to support your assessment.

1. _____Writing Ability

2. _____Time Management

3. _____Research Potential

4. _____Self-Guidance

Do you believe this applicant can successfully complete the Extended Learning Program?

Please explain your answer: