Homework Help Volunteer Program

Faculty Recommendation Form

Fall 2006

NAME:
(Please print last, first, middle)

Certificate or Degree Program :

Faculty Recommender's Name:

I hereby waive my right of access to this recommendation and authorize the person named above to provide a candid evaluation of all relevant information to the Lone Star College–Tomball Extended Learning Center Manager.

Date : Applicant Signature:

To the Faculty Recommender:
The above applicant has volunteered to participate in the Lone Star College–Tomball Extended Learning Center Homework Help program, which will be offered to Tomball community students in grades 6-12. Please rate the applicant in terms of their abilities as a student in your classroom:

	Superior	Excellent	Above Average	Average	Below Average	No Basis for Judgement
Ability in oral expression
Ability in written expression
Emotional maturity
Imagination and probable creativity
Effectiveness in working with others
Potential as a leader

Name of the course(s) the student applicant completed:

Course #1 :

Course #2 :

Did the student earn an A or a B in the course(s)? Yes No

Please print clearly:

Faculty Name:

Faculty Office Phone :

Faculty Email :

Faculty Signature :