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Office of Admissions
Bucknell University
Lewisburg, Pennsylvania 17837
Phone (570) 577-1101 |
To be filed: |
By November 15 for Early
Decision I
By January 1 for Early Decision II
By January 1 for Regular Admission
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The accompanying instructions tell you how to complete the copy and file
with Bucknell University. Please type or print in black ink.
TEACHER EVALUATION
TO THE APPLICANT:
Fill in the information below and give this form and a
stamped envelope, addressed to Bucknell University, Lewisburg, PA 17837,
to a teacher who has taught you an academic subject.
Birthdate: ___________________ Social Security No. (optional): ___________________________________
Month Day Year
Student name _______________________________________________________________________________________
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Last |
First |
Middle |
Jr. etc |
Address __________________________________________________________________________________
| Street |
City or Town |
State |
Zip/Postal Code |
Country |
TO THE TEACHER:
The student named above is applying for admission to Bucknell
University. The Admissions Committees find candid evaluations helpful in
choosing from among highly qualified candidates. We are primarily interested
in whatever you think is important about the applicant's academic and personal
qualifications for college. Please submit your references promptly, particularly
if the student is applying to a college as an early decision candidate.
A photocopy of this reference form, or another reference you may have prepared
on behalf of this student is acceptable. You are encouraged to keep the
original of this form in your private files for use should the student
need additional recommendations. We are grateful for your assistance.
CONFIDENTIALITY:
We value your comments highly and ask that you complete
this form in the knowledge that it may be retained in the student's file
should the applicant matriculate at a Bucknell University. In accordance with
the Family Educational Rights and Privacy Act of 1974, matriculating students
do have access to their permanent files which may include forms such as
this one. Colleges do not provide access to admissions records to applicants,
those students who are denied admission, or those students who decline
an offer of admission. Again, your comments are important to us and we
thank you for your cooperation. We are committed to administer
all educational policies and activities without discrimination on the basis
of race, color, religion, national or ethnic origin, age, handicap, or
sex. The admissions process at private undergraduate institutions is exempt
from the federal regulation implementing Title IX of the Education Amendments
of 1972.
Please return a photocopy of this sheet to the appropriate admissions
office(s) in the envelope(s) provided you by this student.
Teacher's Name (please print or type) ______________________
Position _____________________________
Secondary School ___________________________________________________________________________
School Address _____________________________________________________________________________
|
Street |
City or Town |
State |
Zip/Postal Code |
Country |
Teacher's Phone: (_______)_______________ Teacher's e-mail: ___________________
BACKGROUND INFORMATION
How long have you known this student and in what context? ________________________________________
What are the first words that come to your mind to describe this
student? _____________________________
__________________________________________________________________________________________
List the courses you have taught this student, noting for each the
student's year in school (10th, 11th, 12th) and the level of course difficulty
(AP, accelerated, honors, elective, etc.)
___________________________________________________________________________________________
___________________________________________________________________________________________
EVALUATION
Please write whatever you think is important
about this student, including a description of academic and personal characteristics.
We are particularly interested in evidence about the candidate's intellectual
promise, motivation, maturity, integrity, independence, originality,
initiative, leadership potential, capacity for growth, special talents,
enthusiasm, concern for others, respect accorded by faculty, and reactions to setbacks. We welcome information that will help us to differentiate
this student from others.
RATINGS
Compared to other college-bound students whom you have
taught, check how you would rate this student in terms of academic skills
and potential:
| No basis |
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Below Average |
Average |
Good
(Above Average) |
Very Good
(Well above Average) |
Excellent
(top 10%) |
One of the top few encountered in my career |
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Creative, original thought |
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Motivation |
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Independence, initiative |
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Intellectual ability |
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Academic achievement |
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Written expression of ideas |
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Effective class discussion |
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Disciplined work habits |
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Potential for growth |
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SUMMARY EVALUATION |
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Signature ______________________________________________
Date _______________________________