2600 Cordova St., Ste. 105 Anchorage, AK 99503
Phone (907) 770-5250 Fax (907) 770-5251
Teacher Industry Externship
2017 Recommendation Form
Thank you for taking the time to provide your recommendation and evaluation of this applicant! We know your time is valuable, so we have provided this form to make the process more convenient. However, you are welcome to provide a letter of recommendation in place of, or in addition to, this form. If you have not worked with the applicant in his/her capacity as an educator, some information requested on this form may not be known to you. Please mark those items as “not applicable” (N/A). Your completed form should be returned to the applicant for submission to APICC.
Applicant’s Name (please print):
Your Name:
Your Job Title:
Your Company:
Telephone: Email:
Please check the applicable boxes below and feel free to provide any additional comments.
• What benefits do you feel the applicant would receive from the Teacher Industry Externship?
• What special skills or attributes does the applicant possess beneficial to their industry host company?
• How would the applicant’s school and students benefit from the applicant’s participation in the program?
How long have you known the applicant?
Relationship to Applicant (co-worker, supervisor):
Needs Development / Competent / AboveAverage / Outstanding / N/A
Energy and initiative
Subject area knowledge / professional development
Ability to work independently
Ability to work in a group
Ability to lead/influence others
Organizing & Planning
Adaptability / flexibility
Innovation / resourcefulness
Skill in creating the learning environment (if known / applicable)
Skill In managing class time (if known / applicable)
Skill in making content relevant (if known / applicable)
Timely response to administrative requirements (if known / applicable)
Signature: ______Date: ______
Thank you! We appreciate your comments!
Teacher Industry Externship 2017 http://www.apicc.org/servlet/content/teacher_industry_externships.html
Recommendation Form