CheongShim International Academy	2018 Self-Directed Learning Application Teacher’s Recommendation
			＊Registration No.
			＊Applicant No.

For Applicant
Name		Gender		Resident Registration Number	-*******
Contact Information	Home: Mobile Phone:

For Recommender
Name		E-mail
Institution		Mobile		Office Phone Number

1. I certify that the information presented in my recommendation letter is accurate, complete and

honestly presented. □

2. I have followed the following instructions for the recommendation letter, and I have not included any (direct or indirect) information regarding the student's identity, official scores, competition results, certificates, and qualifications. □

➀ Any mention of English official scores such as TOEFL score, competition results, certificates and qualifications will receive zero points and will be disqualified.

➁ Any indirect or direct mention of the applicant's social, economic stance will receive a 10% discredit from relevant criteria.

➂ Any materials submitted for reference (including official test scores, and competition certificates), as well as direct or indirect mention of such will receive zero points and will be disqualified.

3. I have kept all of the information in my recommendation confidential and I will not disclose it under any

circumstances. □

4. I will hereby cooperate with CSIA if asked for verification of any of the information provided in this

reference form.□

5. If it is found out that I intentionally provided false information or had someone else write the letter, I will be disqualified from writing a recommendation letter to CSIA in the future. □

I hereby agree to the statements above. (Please tick (√) the boxes above)

Date(Year/Month/Day):

Teacher’s Name                       Signature

To Headmaster of CheongShim International Academy

※ This recommendation will be used only for the purpose of admissions process.

※ This recommendation contains important information regarding the applicant's admission. Please confirm the accuracy of the

information presented.

※ Please seal and send this recommendation letter directly to the address below.

Admissions Department

Cheongshim International Academy

324-213 Misari-ro, Seorak-myeon, Gapyeong-gun, Gyeonggi-do Korea (12461)

<Page 2 out of 2>				Registration No.

□ Evaluation on the student's learning ability, talent, and personality (1,000 bytes or less, except for space)

○ Please evaluate and describe aspects of the applicant's self directed learning process, and whether

the applicant's future course plan are a match to CSIA's curriculum and its educational goal.

○ Please evaluate aspects of the applicant's character and personality, moral standards, altruism,

teamwork, and respect for rules that are present in the applicant's activities at school.

○ Compared to other students, please rate this student and check (v) the relevant criteria boxes.

Category	Evaluation item	Poor	Average	Good	Excellent	Exceptional
Self-directed Learning skills	Self-directed Learning capability	□	□	□	□	□
	Academic abilities and achievements	□	□	□	□	□
	Ability to accomplish tasks	□	□	□	□	□
Potential	Comprehension, Logical Analysis	□	□	□	□	□
	Problem Solving Abilities and quest for knowledge	□	□	□	□	□
	Self-discipline and development capability	□	□	□	□	□
Character	Altruism	□	□	□	□	□
	Responsibility, Sincerity, Leadership	□	□	□	□	□
	Honesty, Respect for rules, Morality	□	□	□	□	□

○ Comprehensive evaluation on the applicant

□ Decline to Answer	□ I do not recommend this student	□ I recommend this student	□ I highly recommend this student.