| SUBSTITUTE
REFERENCE |
|
To:
________________________________________________
Applicant:
_______________________________________________
Position:
___________________________________________
|
In
the interest of providing the best education for the children of this
district, please give your frank and honest opinion of the applicant.
This information will be confidential. |
|
Applicant’s Signature _________________________________ |
|
PERSONAL QUALITIES
& CHARACTERISTICS
|
| Please
circle the categories which most appropriately describe the applicant.
5 = Clearly Outstanding 4 = Exceeds Expectations
3 = Satisfactory
2 = Below Expectations 1 = Unsatisfactory |
| Appearance |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Attendance/punctuality |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Emotional
stability |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Dependability |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Professional
judgment |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Response
to supervision |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Enthusiasm/commitment |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Communication
skills |
5 |
4 |
3 |
2 |
1 |
Unknown |
|
| TEACHING/INSTRUCTIONAL
QUALITIES |
| Instructional
strategies
|
5 |
4 |
3 |
2 |
1 |
Unknown |
| Classroom
management and organization |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Presentation
of subject matter |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Learning
environment |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Professional
growth and responsibilities |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Effective
human relations skills |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Peers |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Parents |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Students |
5 |
4 |
3 |
2 |
1 |
Unknown |
| Probable
success as a teacher |
5 |
4 |
3 |
2 |
1 |
Unknown |
|
How long have you known the applicant?
_______________________________________________
|
Would
you hire/rehire the above applicant? __
Yes __
No |
Information
given above is based on (check items which apply): |
____ Applicant's
principal
____ Student teacher under my supervision
____ Applicant's assistant principal
____ Student in my class
|
____
Worked under my supervision
____ Personal acquaintance with the applicant
____ Co-worker
____ Other_________________________________ |
ADDITIONAL REMARKS:____________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
|
Signature__________________________________
|
Position:
__________________________________ |
| Address:__________________________________ |
City:__________________________________ |
| Date:
____________________________________ |
|
| EEOC |