The Leonia Academy for Science Name of Student Last Name

First Name

M.I.

Teacher’s Name

Teacher Reference To be completed by the student’s current math, language arts, science or social studies teacher. All references are confidential and should be mailed electronically to

Mail to: Edward Bertolini Leonia High School Principal The Leonia Academy for Science 100 Christie Heights Street Leonia, NJ 07605

or

[email protected]

If mailed, students must supply teachers with an envelope and postage! The above named student is seeking admittance to The Leonia Academy for Science. One of the most important parts of the application process is the teachers' references. Please help us by completing this teacher reference form. The information will be kept confidential and will be shared with staff members on the Selection Committee. 1) For what subject(s) have you taught the student 2) Please evaluate the above named student in the following areas (Check)

Work ethic Quality of work Willingness to accept a challenge Problem-solving ability Attention to details Effective oral communication Effective written communication Self-advocacy Adaptability/Flexibility Accepts feedback Relates well to others Ethical character

Low

Average

1

2

Above Average 3

High

Superior

4

5

3) Please use the reverse side of this reference to describe strengths or growth needs of the above named student, or feel free to share any additional information that you believe is important.