CIark Honors CoIIege Teacher EvaIuatIon

Postmark DeadIInes
All supporting documents, including teacher evaluations, transcripts, and test scores, must be postmarked by:
Early notihcation-November ?, 2008
Pegular notihcation-February 1, 2009
Student SectIon
Teacher evaluations must be completed on the PDF lorm at ADMISSIONSUOREGONEDUFORMS lor your application to be complete.
Print two copies ol the PDF lorm listed above or call (800) BE-A-DUCK to have the lorms mailed to you. No Common Application lorms
will be accepted
lncomplete applications will not be considered lor admission
Please select teachers who have taught you during the 11th or 12th grades and have awarded you a grade that appears on your transcript
Teacher evaluations lrom counselors, principals, or coaches will only be accepted il they meet the alorementioned criteria
Complete the student section lor each teacher
High school students-give both pages ol the teacher evaluation to TWO teachers lrom dillerent subject areas, i.e., English and science,
math and music
Transler students-give both pages ol the teacher evaluation to one high school teacher and one college prolessor
ll you attended college lor one year or more, give both pages ol the teacher evaluation to two college prolessors
OptIonaI Request
You may include an anecdote, paper, or project that illustrates characteristics or achievements you hope teachers will mention in their evaluations.
3IGNATURE $ATE
Please note that il the University ol Oregon does not receive the waiver above, the teacher evaluations will be considered nonconhdential.
WaIver to RIghts of Access
Under the lederal law entitled the Family Educational Pights and Privacy Act ol 19?4 and according to the University ol Oregon Student
Pecord Policy; registered students are given the right to inspect their records, including letters ol recommendation and teacher evaluations.
Opinion is divided whether letters open to review are more helplul in assessing a student's potential than those that are not. ll the student
wants to waive their right ol access to this evaluation, they may do so by signing the waiver below. ln any case, all evaluations will be carelully
considered.
By siqninq. l exptessly woive ony tiqhIs oI occess Io Ihis evoluoIion undet Ihe Fomily FducoIionol RiqhIs ond Ptivocy AcI oI 1974. Ihe
UnivetsiIy oI Oteqon SIudenI Recotd Policy. ot ony oIhet low. tequloIion. ot policy. ond l undetsIonds IhoI Ihe Clotk Honots Colleqe does noI
tequite execuIion oI Ihis woivet ond is willinq Io teview opplicoIions wheIhet ot noI iI is siqned.
3TUDENT.AME $ATEOF"IRTH
Teacher SectIon
Teacher evaluations must be completed on the PDF lorm at ADMISSIONSUOREGONEDUFORMS. No Common Application lorms will be
accepted. Applications without teacher evaluations are not considered lor admission
Peturn both pages ol the teacher evaluation to the student in an envelope with your name written across the seal or mail directly to the UO
Olhce ol Admissions
Submit the evaluation by one ol the postmark deadlines listed above
ll the student has completed the optional request in the student section ol this lorm, please consider it during your evaluation
ll the student has not signed the waiver, or il the UO does not receive the waiver, the teacher evaluation will be considered nonconhdential
3TUDENT.AME $ATEOF"IRTH
CIark Honors CoIIege Teacher EvaIuatIon
Teacher SectIon Available in hll-able PDF lormat at admissions.uoregon.edu/lorms
Teacher evaluations must be submitted on this lorm. Common Application lorms will not be accepted. Applications without teacher evalu-
ations are not considered lor admission
Peturn both pages ol the teacher evaluation to the student in an envelope with your name written across the seal, or mail directly to the UO
Olhce ol Admissions
ll the student has completed the optional request in the student section ol this lorm, please consider it during your evaluation
ll the student has not signed the waiver, or il the UO does not receive the waiver, this lorm will be considered nonconhdential
Postmark deadlines lor the teacher evaluations: Early notihcation - November ?
Pegular notihcation application - February 1
Mail this application to: Olhce ol Admissions, 121? University ol Oregon, Eugene, OP 9?403-121?
1. PotentIaI of the appIIcant (choose one)
Exceptional High Adequate Low No basis lor judgment
2. RecommendatIon of thIs appIIcant for CIark Honors CoIIege admIssIons (choose one)
Strongly recommend Generally recommend Pecommend with reservations Do not recommend
S. AppIIcant ratIng
Please use check marks to rate the applicant on the qualities listed below-which may not be apparent by viewing the student's transcripts-
compared to other high-achieving college-bound students you have taught.
One ol the best in my upper upper upper upper upper lower No basis lor
career as an educator 1-2% 5% 10% 25% 50% 50% judgment
lntellectual ability
Creativity and originality ol thought
1udgment and maturity
Motivation and productivity
Ouality ol in-class discussion
Ouality ol written expression
Study habits
lnitiative
Pesponse to criticism
Personal accountability and integrity
Open-mindedness with teachers and peers
4. EvaIuatIon
The Pobert D. Clark Honors College is a lour-year liberal arts college within the University ol Oregon and includes students in all scholarly
disciplines. We are looking lor students who enjoy the challenge ol intensive learning and who have demonstrated their ability to think critically
and creatively and to work independently. Please describe specihc examples ol the applicant's intellectual and academic ability. ll you have
recommended other students to the Clark Honors College, how would you compare this student to them?
Signature Date
Name (please print) Title
Subject(s) you have taught this student
lnstitution