Dear Grade 7 Teacher: One of your Grade 7 students has applied to our school’s Pre-AP/Incentive Program. Therefore, would you please be so kind as to complete and return this form as soon as possible.

To submit the form electronically, please save this completed form with the student’s last name and first name as the file name (i.e. – Lastname-Firstname.docx) then email the file from your district-based email account (NOT a personal email account) to LLiang@sd38.bc.ca with the subject heading “Incentive Application Teacher Reference” by Tuesday February 16, 2021.

Student’s Name:Click or tap here to enter text. Click or tap here to enter text. Last Name First Name

School: Click or tap here to enter text.

A. In your view, what are this student’s skillset? (Please check only one box per characteristic)

Below Average Average Above

Average Outstanding

Achievement Profile

Reading Comprehension ☐ ☐ ☐ ☐Math Skills ☐ ☐ ☐ ☐

Written Expression ☐ ☐ ☐ ☐Problem Solving ☐ ☐ ☐ ☐

Social Science ☐ ☐ ☐ ☐Science Concepts/Skills ☐ ☐ ☐ ☐

Behavioural Profile

Curiosity ☐ ☐ ☐ ☐Willingness to Accept Challenges ☐ ☐ ☐ ☐

Creativity ☐ ☐ ☐ ☐Social Interaction ☐ ☐ ☐ ☐

Commitment to Completing Tasks ☐ ☐ ☐ ☐Initiative and Self-Motivation ☐ ☐ ☐ ☐

Willingness to Take Risks ☐ ☐ ☐ ☐Enthusiasm ☐ ☐ ☐ ☐

Leadership Potential ☐ ☐ ☐ ☐

R.C. PALMER Pre-AP/INCENTIVE PROGRAM

Grade 7 Teacher’s Reference Form

B. Please estimate the number of students you have taught over your teaching experience: Click or tap here to enter text.

Out of all the students whom you have taught, please indicate how highly you would rank this applicant overall (Please check one only):

In the top:

5% ☐ 10% ☐ 15% ☐ 20% ☐25% ☐ 30% ☐ 40% ☐ 50% ☐

Below the top 50% ☐

C. Would you say that this student is suited for an accelerated and enrichment academic program? (Please check one only)

Yes ☐ No ☐ Maybe ☐

Please briefly comment on the rationale behind the choice above (especially if you feel there are any areas of concern). *The textbox should expand to accommodate any length of text*

Click or tap here to enter text.

Teacher’s Signature: Click or tap here to enter text.

Date Completed: Click or tap to enter a date.

Thank you for taking the time and effort to complete this form!

Revised Nov 2020