Lincoln'University'Upward'Bound'Program''
June'2017' Page'1'
Upward Bound Program Application
Section III
STUDENT EVALUATION FORM
(To be completed by an Academic Subject Teacher)
Student:______________________________________
Teacher:_______________________________________Course:_________________
Directions: Please write a sentence or two in response to the items listed.
1) Attitude toward school and study habits:
2) Academic strengths:
3) Academic weaknesses:
4) Potential to perform on college level:
5) Based on your experience and observations, discuss problem areas, other than those
indicated above, that may hinder this student’s performance in school.
6) Would you be willing to assist the Upward Bound Project in monitoring this student’s
performance on a periodic basis while school is in session?
Yes _______ No_______ If yes contact number:_____________________
Thank you.
Teachers: Please return completed form to Guidance Office.
!