H I R A M   C O L L E G E   TEACHER  EVALUATION

Vice President for Admission and College Relations Hiram College P.O. BOX 96 Hiram, OH 44234 800/362-5280

Legal name:	__________________________	_________________________	____________________
	Last	First	Middle

Permanent address:	_________________________	______________	___________________	________
		Number and Street

________________________	____________________	__________________	______________	___
Town/City	State	Zip	Country

Home phone number:

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TEACHER: The above student has applied for admission to Hiram College. Your comments regarding the applicant are important to us in evaluating his/her potential as a candidate for admission. This form should be completed and returned to us as soon as possible, but not later than March 15 for general admission or February 1 if he/she wishes to be considered for academic scholarships. Confidentiality: Your comments will be held in strictest confidence during the selection process and they will not become part of the applicant’s file if he/she matriculates at Hiram College.
 

Name:	_______________________________________	Position: ____________________________________
	Please type or print

Secondary school: _________________________________________________________________________________

School Address:

________________________

_____________

____________

_________

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Telephone number: __________/__________-______________

 
BACKGROUND INFORMATION:
In what context(s) have you known the applicant? ________________________________________________________

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What are the first words that come to your mind to describe the candidate? ___________________________________

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Please list the course(s) in which you have taught the applicant, the year taught (junior or senior year) and the level of difficulty of the course (regular, honors, accelerated, Advanced Placement, etc.).

Course

Year

Level of difficulty

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

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EVALUATION:
Please write a candid evaluation of the applicant. We welcome all information that will help us gauge the potential of this candidate and differentiate him/her from others.

RATINGS:
Please evaluate this candidate in comparison to other college-bound students you have taught using the following scale: 1—Truly outstanding (one of the top students I have taught), 2—Excellent (top 10%), 3—Good (above average), 4—Average, 5—Below average.

Genuine interest in learning:_____ Responsible completion of work:_____ Seriousness of purpose/commitment to hard work:_____ Written expression of ideas:_____ Independence/initiative:_____ Creativity/originality:_____

Time management:_____ Potential for growth:_____ Effective class participation:_____ Energy/motivation:_____ Intellectual ability:_____

SIGNATURE: _____________________________________

DATE: __________________

 
I recommend this student (optional): ______ enthusiastically ______ strongly ______ fairly strongly ______ with reservation.

I would like to share additional information regarding this student. Please call me. ______

REMINDER: PLEASE RETURN AS SOON AS POSSIBLE, BUT NOT LATER THAN MARCH 15 FOR GENERAL ADMISSION OR FEBRUARY 1 IF THE APPLICANT WISHES TO BE CONSIDERED FOR ACADEMIC SCHOLARSHIPS.