2017 Math-Science Computer Camp

Teacher Recommendation Form

INSTRUCTIONS: This form is part of the application packet for the Math-Science Computer Camp 2017. It is to be filled out by a teacher and submitted directly to the Project Director. Teacher recommendations not submitted online must be signed and dated. Deadline is April 7, 2017 or as soon as possible thereafter.

Dear Teacher: Your time and effort in answering the following questions will be greatly appreciated. All information will be kept in strict confidence.

Fields with an asterisk(*) are required.           Printable Version

Student Information

Student's Last Name*

First Name*




  Excellent Good Fair Poor Inadequate Information


Ability to work with other students*

Seriousness as a student*


Willingness to cooperate*



Respect for adults*

Attitude toward learning*

Interest in Math*

Interest in Science*

*Does the student have a "C" or better average in science or math in the latest grading period?   Yes   No

     If yes, please provide the most recent grade in: Math   Science   Technology

*In summary, applicant is:
Highly recommended   Recommended   Questionable   Not recommended  

Please comment briefly on student's special interests, abilities, needs, or qualities


Teacher Information

Teacher's name*


School district number*

School address*

  City*  State*   Zip* 

Your email address at school