Teacher Education Reference Form

Please help us by filling this form out completely.

We appreciate your honest estimate of this teacher candidate's character qualities. Any information that is submitted will be used to help the Teacher Education Department facilitate for the candidate an appropriate path and meaningful learning experience while in the Teacher Education Program.

Also, it would be helpful if you could submit this form as soon as possible, as any delay may hinder the candidate's progress in the TEP program.

After you complete this form:

You will be prompted to complete any fields which are left blank.

Submit it to the Teacher Education Department by clicking on the button at the bottom of this page. Thank you for your cooperation.

Teacher Education Candidate Reference Form Questions (* = Required Field)

General Information
Reference Form For: (student's name)*
How long have you known the applicant?*
In what relationship?*
Character Qualities
From your experience, relationship with and knowledge of the candidate, to what extent do you believe he/she demonstrates:
Compassion (respect and Christlike care for all)*	3 (Outstanding) 2 (Average) 1( Below Average)
Integrity (noncompromising honesty, uprightness)*	3 (Outstanding) 2 (Average) 1( Below Average)
Patience (listens, forgives, seeks to understand others)*	3 (Outstanding) 2 (Average) 1( Below Average)
Enthusiasm (shows eagerness and passion for tasks)*	3 (Outstanding) 2 (Average) 1( Below Average)
Responsibility (demonstrates professional work ethic in all duties)*	3 (Outstanding) 2 (Average) 1( Below Average)
Humility (accepts constructive criticism with respectful response to authority)*	3 (Outstanding) 2 (Average) 1( Below Average)
Do you have any reservations concerning the applicant's ability to be a competent, caring, qualified teacher?*	Yes No
Please submit any comments you have regarding the applicant's ability to be a competent, caring, qualified teacher.
Overall Recommendation and Further Comments
How would you recommend the teacher candidate?*
Your Name:*

General Information

Reference Form For: (student's name)*

How long have you known the applicant?*

In what relationship?*

Character Qualities

From your experience, relationship with and knowledge of the candidate, to what extent do you believe he/she demonstrates:

Compassion (respect and Christlike care for all)*