PROFESSIONAL REFERENCE FORM

PROFESSIONAL REFERENCE FORM

Resident Teacher Program s Baltimore City Public School System

PART 1 – TO BE COMPLETED BY APPLICANT

Riley	Kitty	226-82-5282
___________________________________________________________________________
Applicant’s Last Name	First	Soc.Sec.#
		Kitty Riley
I hereby waive my right of access to this letter of reference.________________________________________________________________
		Signature

PART 2 – TO BE COMPLETED BY REFERENT

The person named above has applied for a position as a Resident Teacher within the Baltimore City Public School System. The Resident Teacher Program provides an opportunity for college graduates with exemplary experience to change careers and enter the teaching profession. If selected, the applicant will be part of this alternative certification program in which he/she begins to teach while receiving training.

The information you provide in this reference is confidential and will not be divulged to the applicant. Please attach a letter explaining why you would or would not recommend this applicant for the Resident Teacher Program. We are looking specifically for anecdotal evident of qualities such as determination in handling demanding circumstances; flexibility and an ability to be thoughtful about his/her work; commitment to working in an urban environment; excellent writing and speaking skills; and a gift for interacting with others, particularly children.

Reference writer’s name_________________________________________________________________________________________________
Position / Title_________________________________	Organization / Institution__________________________________________
Address________________________________________________________________________________________________________________
Daytime Phone_________________________________	Fax________________________________________________________________
Relationship to the applicant___________________	Length of time you have known the applicant _______________________
Signature______________________________________	Date_______________________________________________________________

Please complete the chart below

(In your attached reference letter, please give examples of these skills.)

Criteria	No basis for judgement	Below Average	Above Average (Top 50%)	Good (Top 25%)	Outstanding (Top 10%)	Exceptional (Top 2%)
Writing, thinking & speaking skills
Perseverance through difficulty in work environment
Ability to relate to children
Ability to plan lessons creatively¹

¹This may have been demonstrated in any instructional setting.

RETURN BY MAIL TO: RESIDENT TEACHER PROGRAM
200 N. CENTRAL AVENUE, BALTIMORE, MD 21202
OR FAX TO: (410) 545-3577

p Recommend p Do Not Recommend