{"id":43,"date":"2017-10-25T09:01:01","date_gmt":"2017-10-25T13:01:01","guid":{"rendered":"https:\/\/web.tusculum.edu\/trio\/ub-math-science\/?page_id=43"},"modified":"2019-02-26T13:59:40","modified_gmt":"2019-02-26T18:59:40","slug":"teacher-recommendation-form","status":"publish","type":"page","link":"https:\/\/web.tusculum.edu\/trio\/ub-math-science\/teacher-recommendation-form\/","title":{"rendered":"TEACHER RECOMMENDATION FORM"},"content":{"rendered":"<p><strong>Tusculum University Upward Bound Math and Science<\/strong><\/p>\n<p><strong>TEACHER RECOMMENDATION FORM<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong><u>Directions<\/u><\/strong><strong>:\u00a0 This form should preferably be completed by a MATH or SCIENCE teacher.\u00a0 <\/strong><\/p>\n<p><strong>TEACHERS: when completing this form, please keep in mind:<\/strong><\/p>\n<ul>\n<li><strong>This program is funded by the U.S. Department of Education to help prepare high school participants for college. The ultimate goal of this program is to help students recognize and develop their potential to excel in math and science and to encourage them to pursue postsecondary degrees in math and science, and ultimately careers in the math and science profession.<\/strong><\/li>\n<li><strong>Upward Bound Math and Science is NOT a remedial program. It is an intense, technically oriented program. It is essential that participants possess genuine interest, curiosity and potential in mathematics and\/or the sciences. Participants will be required to complete a research project.<\/strong><\/li>\n<\/ul>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_6' ><form method='post' enctype='multipart\/form-data'  id='gform_6'  action='\/trio\/ub-math-science\/wp-json\/wp\/v2\/pages\/43' >\n                        <div class='gform_body gform-body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_6_1\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_1\"><label class='gfield_label' for='input_6_1' >Name of Applicant (Student)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_2\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_2\"><label class='gfield_label' for='input_6_2' >School applicant attends or will attend 2025-2026:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_6_2' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Chuckey Doak High School' >Chuckey Doak High School<\/option><option value='Greeneville High School' >Greeneville High School<\/option><option value='North Greene High School' >North Greene High School<\/option><option value='South Greene High School' >South Greene High School<\/option><option value='West Greene High School' >West Greene High School<\/option><\/select><\/div><\/li><li id=\"field_6_15\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_15\"><label class='gfield_label' for='input_6_15' >Name of Teacher:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_6_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_18\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\"><label class='gfield_label' for='input_6_18' >Teacher email:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_6_18' type='text' value='' class='medium'  aria-describedby=\"gfield_description_6_18\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_6_18'>Please use your school email account. You will receive a verification email to signify the authenticity of this recommendation. <\/div><\/li><li id=\"field_6_17\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_17\"><label class='gfield_label' for='input_6_17' >Name of school in which the teacher instructed the applicant:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_6_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_3\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_3\"><label class='gfield_label' for='input_6_3' >Capacity in which you know the applicant:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_6_3' type='text' value='' class='medium'  aria-describedby=\"gfield_description_6_3\"   aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_6_3'>Example: Chemistry Teacher<\/div><\/li><li id=\"field_6_6\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_6\"><h2 class=\"gsection_title\">Please give your opinion based on your knowledge of the applicant, relevant to each particular statement:<\/h2><\/li><li id=\"field_6_19\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_19\"><label class='gfield_label'  >The student has the internal motivation to be successful in this program.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_19'>\n\t\t\t<li class='gchoice gchoice_6_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Strongly Disagree'  id='choice_6_19_0'    \/>\n\t\t\t\t<label for='choice_6_19_0' id='label_6_19_0'>Strongly Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='Disagree'  id='choice_6_19_1'    \/>\n\t\t\t\t<label for='choice_6_19_1' id='label_6_19_1'>Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='Agree'  id='choice_6_19_2'    \/>\n\t\t\t\t<label for='choice_6_19_2' id='label_6_19_2'>Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Strongly Agree'  id='choice_6_19_3'    \/>\n\t\t\t\t<label for='choice_6_19_3' id='label_6_19_3'>Strongly Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='No Knowledge'  id='choice_6_19_4'    \/>\n\t\t\t\t<label for='choice_6_19_4' id='label_6_19_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_20\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_20\"><label class='gfield_label'  >This student is strongly interested in math and\/or science.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_20'>\n\t\t\t<li class='gchoice gchoice_6_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Strongly Disagree'  id='choice_6_20_0'    \/>\n\t\t\t\t<label for='choice_6_20_0' id='label_6_20_0'>Strongly Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='Disagree'  id='choice_6_20_1'    \/>\n\t\t\t\t<label for='choice_6_20_1' id='label_6_20_1'>Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='Agree'  id='choice_6_20_2'    \/>\n\t\t\t\t<label for='choice_6_20_2' id='label_6_20_2'>Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_20_3'>\n\t\t\t\t<input name='input_20' type='radio' value='Strongly Agree'  id='choice_6_20_3'    \/>\n\t\t\t\t<label for='choice_6_20_3' id='label_6_20_3'>Strongly Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_20_4'>\n\t\t\t\t<input name='input_20' type='radio' value='No Knowledge'  id='choice_6_20_4'    \/>\n\t\t\t\t<label for='choice_6_20_4' id='label_6_20_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_21\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_21\"><label class='gfield_label'  >This student has a strong background in math and\/or science.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_21'>\n\t\t\t<li class='gchoice gchoice_6_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='Strongly Disagree'  id='choice_6_21_0'    \/>\n\t\t\t\t<label for='choice_6_21_0' id='label_6_21_0'>Strongly Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='Disagree'  id='choice_6_21_1'    \/>\n\t\t\t\t<label for='choice_6_21_1' id='label_6_21_1'>Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='Agree'  id='choice_6_21_2'    \/>\n\t\t\t\t<label for='choice_6_21_2' id='label_6_21_2'>Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_21_3'>\n\t\t\t\t<input name='input_21' type='radio' value='Strongly Agree'  id='choice_6_21_3'    \/>\n\t\t\t\t<label for='choice_6_21_3' id='label_6_21_3'>Strongly Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_21_4'>\n\t\t\t\t<input name='input_21' type='radio' value='No Knowledge'  id='choice_6_21_4'    \/>\n\t\t\t\t<label for='choice_6_21_4' id='label_6_21_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_22\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_22\"><label class='gfield_label'  >This student is self-disciplined enough to work on an independent research project.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_22'>\n\t\t\t<li class='gchoice gchoice_6_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='Strongly Disagree'  id='choice_6_22_0'    \/>\n\t\t\t\t<label for='choice_6_22_0' id='label_6_22_0'>Strongly Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='Disagree'  id='choice_6_22_1'    \/>\n\t\t\t\t<label for='choice_6_22_1' id='label_6_22_1'>Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='Agree'  id='choice_6_22_2'    \/>\n\t\t\t\t<label for='choice_6_22_2' id='label_6_22_2'>Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_22_3'>\n\t\t\t\t<input name='input_22' type='radio' value='Strongly Agree'  id='choice_6_22_3'    \/>\n\t\t\t\t<label for='choice_6_22_3' id='label_6_22_3'>Strongly Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_22_4'>\n\t\t\t\t<input name='input_22' type='radio' value='No Knowledge'  id='choice_6_22_4'    \/>\n\t\t\t\t<label for='choice_6_22_4' id='label_6_22_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_23\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\"><label class='gfield_label'  >This student is responsible enough to attend a six week residential program away from parental supervision.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_23'>\n\t\t\t<li class='gchoice gchoice_6_23_0'>\n\t\t\t\t<input name='input_23' type='radio' value='Strongly Disagree'  id='choice_6_23_0'    \/>\n\t\t\t\t<label for='choice_6_23_0' id='label_6_23_0'>Strongly Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_23_1'>\n\t\t\t\t<input name='input_23' type='radio' value='Disagree'  id='choice_6_23_1'    \/>\n\t\t\t\t<label for='choice_6_23_1' id='label_6_23_1'>Disagree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_23_2'>\n\t\t\t\t<input name='input_23' type='radio' value='Agree'  id='choice_6_23_2'    \/>\n\t\t\t\t<label for='choice_6_23_2' id='label_6_23_2'>Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_23_3'>\n\t\t\t\t<input name='input_23' type='radio' value='Strongly Agree'  id='choice_6_23_3'    \/>\n\t\t\t\t<label for='choice_6_23_3' id='label_6_23_3'>Strongly Agree<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_23_4'>\n\t\t\t\t<input name='input_23' type='radio' value='No Knowledge'  id='choice_6_23_4'    \/>\n\t\t\t\t<label for='choice_6_23_4' id='label_6_23_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_24\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_24\"><label class='gfield_label'  >Evaluate the student&#039;s interest in academic work:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_24'>\n\t\t\t<li class='gchoice gchoice_6_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Excellent'  id='choice_6_24_0'    \/>\n\t\t\t\t<label for='choice_6_24_0' id='label_6_24_0'>Excellent<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Above Average'  id='choice_6_24_1'    \/>\n\t\t\t\t<label for='choice_6_24_1' id='label_6_24_1'>Above Average<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_24_2'>\n\t\t\t\t<input name='input_24' type='radio' value='Average'  id='choice_6_24_2'    \/>\n\t\t\t\t<label for='choice_6_24_2' id='label_6_24_2'>Average<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_24_3'>\n\t\t\t\t<input name='input_24' type='radio' value='Below Average'  id='choice_6_24_3'    \/>\n\t\t\t\t<label for='choice_6_24_3' id='label_6_24_3'>Below Average<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_24_4'>\n\t\t\t\t<input name='input_24' type='radio' value='No Knowledge'  id='choice_6_24_4'    \/>\n\t\t\t\t<label for='choice_6_24_4' id='label_6_24_4'>No Knowledge<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_25\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_25\"><label class='gfield_label'  >Do you recommend this student for the Upward Bound Math and Science Program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_25'>\n\t\t\t<li class='gchoice gchoice_6_25_0'>\n\t\t\t\t<input name='input_25' type='radio' value='Enthusiastically'  id='choice_6_25_0'    \/>\n\t\t\t\t<label for='choice_6_25_0' id='label_6_25_0'>Enthusiastically<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_25_1'>\n\t\t\t\t<input name='input_25' type='radio' value='With Reservations'  id='choice_6_25_1'    \/>\n\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1'>With Reservations<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_25_2'>\n\t\t\t\t<input name='input_25' type='radio' value='No'  id='choice_6_25_2'    \/>\n\t\t\t\t<label for='choice_6_25_2' id='label_6_25_2'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_13\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_13\"><label class='gfield_label' for='input_6_13' >Comments:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_6_13' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_6_14\"  class=\"gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_14\"><label class='gfield_label' for='input_6_14' >I certify that this information is correct to the best of my knowledge. 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