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Name of Applicant _____________________________________________________________
Educational objective: BCLAD Single Subject____BCLAD Multiple
Subject______
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Thee following Waiver of Access is optional at the applicant's discretion.
If signed by the applicant, the waiver certifies to the evaluator and the
University that this evaluation is confidential. Applicant's Waiver of
Access (valid only if signed)
I hereby waive all rights to see or inspect any statement sent to SDSU as a result of this request.
Student's signature _____________________Date_______
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Evaluator: Your input is valued in the selection of our candidates
to our programs. Your careful evaluation of the student will be greatly
appreciated. In responding to the following questions, please provide
specific statements. The most helpful references are those which include
both statements of strength and limitation.
l. To what degree is the applicant able to effectively communicate
orally and in writing in a language other than English?
2. How would you rate the applicant's overall intellectual and academic
ability?
3. How would you rate the applicant's personality, emotional maturity,
and ability to achieve a working relationship with others?
4. How effective is the applicant as a creative and independent thinker?
5. What can you say about the applicant's attitude, aptitude, and
ability to teach students?
6. Brief statement of the applicant's strengths and weaknesses with
regards to his/her academic skills.
Name __________________________________________ Signature ______________________
Position __________________________________________ Date _________________________
Address/Phone # _________________________________________________________________
8-13-1999