Application Booklet - Our Lady of Good Counsel High School

Do not submit this form if you are in a Washington Archdiocese Catholic Elementary School.Math Teacher Recommendation Forme purpose of this form is to request a general assessment of the student, which will become part of his/her application foradmission to Good Counsel High School. e contents of this assessment are confidential and are not routinely shared withapplicants and their families, though all educational records are subject to the Family Educational Rights and Privacy Act of1974. Applicants’ records only become permanent if they matriculate at Good Counsel.APPLICANT’S LEGAL NAME LAST FIRST MIDDLECURRENT SCHOOLSCHOOL PHONEEVALUATOR’S NAMEPOSITIONEVALUATOR’S SIGNATUREDATEEvaluator – Compared to other students whom you have taught or advised, please assess this student for thefollowing characteristics. Please mail or fax the completed form to the address below.Key:1 = outstanding2 = good3 = satisfactory4 = improvementneeded5 = unsatisfactoryN = not observedAbility to work independentlyAbility to work in a groupAbility to follow directionsAchievement related to potentialOrganization of time and workSelf-motivationConductIntegrityLeadershipEmotional MaturityRelationship with peersRelationship with adultsConcern for othersSelf confidence1 2 3 4 5 NIncoming Freshman deadline: December 14, 2012Transfer Student deadline: March 22, 2013 for the 2013-2014 school yearParents, please provide a stamped envelope for the teacherto mail the registration form to Good Counsel.17301 Old Vic Boulevard, Olney, MD 20832Phone: 240-283-3235 Fax: 240-283-3250