Qualtrics Survey | Qualtrics Experience Management

Your Name

Student being recommended

How long have you known this student?

Just met this year
One or two years
More than two years

What three words best describe this student?

This student's academic engagement is

Above average
Average
Below average

This student's attendance is

Strong
Average
Below average

This student completes tasks in a timely manner.

Yes
No

This student has an issue with tardiness.

Yes
No

This student accepts redirection and/or feedback well.

Yes
No

This student applies positive coping skills when faced with a challenge.

Yes
No

This student's communication skills are

Exemplary as compared to peers
Typical as compared to peers
Need improvement as compared to peers

Did this student ask you personally to provide a recommendation, as requested in the application process?

Yes
No

What strengths would this student bring to a community of students traveling internationally together?

If you were a chaperone, what concerns - if any - would you have about this student traveling internationally? (All comments are private to the program director and chaperones will not be shared with students or families).