School: You have been selected as a reference by the above student applying to participate in the 2010 Summer Scrubs Program. Your input is very important to us. We are looking for students who are interested in healthcare, will attend the program each day, and are respectful of others. All responses will be kept confidential. Subject taught/relationship to student: How long have you known student? Please rate the student in the following areas:
Do you recommend this student without hesitation to
participate in Summer Scrubs? Comments: Teacher Name: * Phone Number: E-mail address: * * (required for verification purposes)
|
