Questionaire — Chesterton Academy of St. Michael

Confidential Teacher Questionaire

To be completed by the applicant’s teacher, past-teacher, or adult involved in the student’s education outside of the immediate family.

The student requesting you to complete this questionnaire has applied for admission to Chesterton Academy of St. Michael. Your honest assessment of this student will help us make a more informed decision regarding his/her admission. Please take a few minutes to share some information with us. This form will be kept confidential and will not be shared with the student or their family.

Name of Applicant

(Student)

First Name

Last Name

Background

Please tell us how long you've known the applicant and which subject(s) you taught.

Strengths & Weaknesses

Please describe the applicant's academic strengths and weaknesses.

Character

Please descibe the applicant's character and behavior in yoiur class.

Study Habits

How would you descibe the applicant's study habits, dilligence, and willingness to learn.

Your Name

(Teacher)

First Name

Last Name

Your Email

Title

School

The school at which you taught the applicant.

School Address

Date

YYYY