The Hiram College Teacher Evaluation

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

Center For International Studies
Hiram College
P.O. BOX 67
Hiram, OH 44234
1-330-569-5159

APPLICANT: Please print this form, complete the top four lines, and give it to a teacher who has taught you in a traditional college preparatory subject during your junior or senior year. We have provided the address (top right) to which your teacher can return this information.

Legal name: __________________________ _________________________ ____________________

Last First Middle

Permanent address: _________________________ ______________ ___________________ ________
Number and Street

________________________ ____________________ __________________ ______________ ___

Town/City State Zip Country

Home phone number: _______________________ Social Security Number: ________-________-________

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: ________________________ _____________ ____________ _________ _____________

Telephone number: __________/__________-______________

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

______________________________________________________________________________________________

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

______________________________________________________________________________________________

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

______________________________________________________________________________________________

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.

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.

Legal name:	__________________________	_________________________	____________________
	Last	First	Middle

Permanent address:	_________________________	______________	___________________	________
		Number and Street

________________________	____________________	__________________	______________	___
Town/City	State	Zip	Country

Name:	_______________________________________	Position: ____________________________________
	Please type or print