Durham Academy: The Summer Institute

Instructions:

 Please Submit by April 1

You may submit this form electronically or print it out and mail it to:

The Summer Institute
Durham Academy
3601 Ridge Road
Durham, NC 27705-5599

go to the online Student Application Form
go to the Summer Institute program Description
see other Hands-on Science opportunities for Students in North Carolina
go to the Student Science Enrichment Program Main Page

Evaluation Form
Instructor's Name:
 Student's Name:
DEPARTMENT:
How well do you know this student and in what contexts have you dealt with him or her?

Profile: Please mark the number which corresponds to your evaluation of the student on each characteristic.

1 - 2 Poor
3 - 4 Average
5 - 7 Excellent

Intellectual Capacity
 Intellectual Curiosity
Scholastic Potential
 Scholastic Performance
Science/Math Aptitude
 Science/Math Interest
Reliability
 Honesty
Personal Motivation
 Level of Effort
Overall Recomendation

What are the first four or five words that come to mind when you think of this student?

Your evaluation of the student is essential to our selection process. Is there anything more that we need to know in order to guide the selection process?

Thank you for giving your time and effort on behalf of this applicant.