CO-OPERATIVE EDUCATION DEPARTMENT
Form
Subject Teacher: Subject:  Student:

 

 Academic Achievement

Excellent  

Very Good Good Fair Poor
Since Co-operative Education has an extensive out-of-school component, this student will represent the school in the community. Please be candid; unfavorable responses will not necessarily preclude the student from being accepted.
Comments:
 

 

Please check the column  that best describes the qualities of the student named above
  Exceptional Very Good Good Fair Poor

Appearance

          

Initiative

          

Self-Discipline

          

Follows Instructions

          

Co-operation

          

General Conduct

          

Communication Skills

          

Work Habits

          

 

STUDENT’S ATTENDANCE PATTERN (Circle one only)
Always regular and prompt Poor attendance with reason
Usually present and on time Often absent without good reason and frequently late

GENERAL RECOMMENDATION
If the student rates poorly, but you think that he or she would benefit from the work experience aspect, then please explain your reason for this recommendation.

 

FREEDOM OF INFORMATION & PROTECTION OF INDIVIDUAL PRIVACY ACT
I,___________________________, agree to the release of the above information to Sir Winston Churchill Secondary School Co-Operative Education Department for administrative purposes.
Return to: Mr. Hinton  Director of Cooperative Education

Teacher’s Signature:

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