Recommendation from Rebbe

Student’s Name:*

First Middle Last

School you are currently attending:*

Present Limudei Kodesh Grade:*

Academic Evaluation
Please check the single most appropriate box for each category in the following section

Ability*

Comments

Achievement*

Comments

Work Habits*

Comments

Motivation*

Comments

Attitude Toward Learning*

Comments

Character Evaluation
Please check the single most appropriate box for each category in the following section

Honesty*

Concern for Others*

Maturity*

Relationship with Students*

Behavior*

Relationship with Teachers*

Leadership*

Personal Growth Potential*

Creativity*

Religious Observance*

Attendance*

Religious Growth Potential*

Are there any circumstances with home conditions, health, previous background of outside activities, etc., which should be taken into consideration? Please elaborate:

Personal Recommendation:

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Rebbe’s Name:*

Rebbe’s Signature:*

Today’s Date:*

School*

Address*

Telephone*