Reference Form – TeacherVeronica Jesuthasan2019-06-28T15:29:45+00:00 Reference Form - Teacher Name of Applicant* First Last Name of Person Providing Reference* First Last Address of Person Providing Reference* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Phone*Please evaluate the applicant as fairly as you are able by marking your ratings on the following continuums. If you don't feel qualified to give an answer in a particular area, please mark it Don't Know or Not Applicable. Your responses will be kept confidential. 1 = POOR 2 = BELOW AVERAGE 3 = AVERAGE 4 = ABOVE AVERAGE 5 = OUTSTANDING OR DON'T KNOW NOT APPLICABLETRAINING AND ATTITUDESPossesses a sound academic background in the subject areas that he/she has taught*12345Don't KnowNot ApplicableIs well trained in basic teaching skills and methodology*12345Don't KnowNot ApplicableIs skilled at developing individual lesson plans*12345Don't KnowNot ApplicableIs willing to listen to and implement new ideas*12345Don't KnowNot ApplicableIs able to use textbooks as a guide rather than the rigid determiner of particular courses*12345Don't KnowNot ApplicableDemonstrates the maturity of approach and personality that would be expected in an experienced teacher.*12345Don't KnowNot ApplicableHas a well developed philosophy of education*12345Don't KnowNot ApplicableCLASSROOM STYLEPrepares well for his/her lessons*12345Don't KnowNot ApplicableCan cope with a wide range of ability levels within the same class*12345Don't KnowNot ApplicableCreates an attractive and stimulating teaching environment*12345Don't KnowNot ApplicableHas a varied and productive teaching style*12345Don't KnowNot ApplicableEncourages students to explore and problem-solve for themselves*12345Don't KnowNot ApplicableHandles discipline fairly and firmly but with a sensitivity to individual students*12345Don't KnowNot ApplicableMotivates students to be enthusiastic about their work*12345Don't KnowNot ApplicableIs respected by his/her students*12345Don't KnowNot ApplicableIs able to incorporate CAL (computer-assisted-learning) into his/her teaching program*12345Don't KnowNot ApplicableIncorporates audio-visual media into his/her teaching program*12345Don't KnowNot ApplicableWhen opportunity arises to use equipment such as in a laboratory, he/she encourages students to experiment in a 'hands on' way*12345Don't KnowNot ApplicableCONTRIBUTION TO SCHOOL LIFEIs involved in extra-curricular activities with students*12345Don't KnowNot ApplicableHas an appropriate respect for authority structures*12345Don't KnowNot ApplicableMaintains friendly and supportive relations with his/her fellow teacher*12345Don't KnowNot ApplicableWorks well as part of a team*12345Don't KnowNot ApplicableEstablishes and maintains good relationships with the parents of his/her students*12345Don't KnowNot ApplicableMULTI-CULTURAL FACTORSWorks well in a multi-ethnic classroom where students come from many different countries/cultures*12345Don't KnowNot ApplicableWorks well in a multi-ethnic classroom where students come from many different countries/cultures*12345Don't KnowNot ApplicableHas demonstrated an ability to work with a multi-ethnic staff*12345Don't KnowNot ApplicableIs able to develop lessons in a thematic or conceptual framework (as opposed to prescribed content approach)*12345Don't KnowNot ApplicableIncorporates community values into the subjects of the curriculum*12345Don't KnowNot ApplicablePossesses adequate experience to work in a location where there are few other teachers teaching the same subject/grade*12345Don't KnowNot ApplicableBACKGROUND AND SUMMARYPlease indicate the length of time and dates during which you have known the applicant in a professional capacity.*What has been your professional relationship with this applicant (fellow teacher, Principal, etc.)*What is the location (institution and city) in which you have known the applicant professionally?*Please write down what you consider to be the applicant's two most outstanding talents or abilities as a teacher?A)B)Please write down the two areas related to teaching in which the applicant is in most need of development.A)B)Please add any other relevant comments which you think may be of assistance to us as we consider this applicant.Would you hire this person again?*Consent* By checking this box, I agree that everything is true and accurate.Signature (Name)*Date Date Format: MM slash DD slash YYYY