Student Reference Form

You have been directed to this page because a student seeks a character reference in order to travel on a Sister Cities trip to Kakegawa, Japan this summer. Students are required to have 2 adult references. Please evaluate this student's maturity, adaptability, and interpersonal skills. This form may not be filled out by a family member.

This should take 10 minutes or less. All responses are confidential.

Your Information

Student Evaluation (Please answer questions 1-3)

1. How does this student interact with their peers?

Type your response here.

2. What impression do you have about their flexibility and adaptability?

Type your response here.

3. What are their best characteristics? What challenges do you perceive? Any additional comments?

Type your response here.

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