* Student's Name:

* Your Name:

* Your Email:

* Subject(s) taught / How you know the student

* Years you've been a teacher:

* Years you've known the student:

* Please give us your general impressions of the applicant. Is she able to stay on task? Does she make valuable contributions to your class environment? How would you describe her curiosity and motivation? Has she shown any initiative beyond the required class work?


* Please describe a specific situation in which the applicant has worked with other students (for example, a group project.) How did the applicant interact with the other members of the group? What sort of role did she take within the group? If any conflict arose, was she able to handle it well?

* Please describe a specific situation in which the applicant faced a difficult challenge. How did she handle the situation?


* Codebreakers was founded in response to the growing importance of cybersecurity in our world. Our goal is to motivate young women to become interested in these fields and give them increased confidence in their abilities to pursue fields that traditionally have been regarded as "off-limits" to girls. To what extent do you think the applicant could benefit from such a program?

If there is anything else you would like to tell us about the applicant? If so, please feel free to do so below.


Please rate the applicant on each of the following qualities:

Communication Skills: poor fair good very good excellent

Level of Maturity: poor fair good very good excellent

Responsibility: poor fair good very good excellent

Respect for Others: poor fair good very good excellent

Creativity: poor fair good very good excellent

Personal Inititative: poor fair good very good excellent

Academic Performance: poor fair good very good excellent

Academic Potential: poor fair good very good excellent

Overall recommendation: poor fair good very good
excellent

**HINT-Before pressing *Submit* please copy and paste your text answers into a word document--just to be safe.

** Please note, you will receive an email confirming that we have received your recommendation. If you don't receive confirmation, that means it was not successfully entered into our database.

**We recommend forwarding the confirmation email to the requester so she will know you have completed the form and better be able to track the status of her application.