The above named person has applied for admission to Weimar Academy and has given your name as a reference. Please be honest and candid in your evaluation. This referral will be kept strictly confidential. Since this form must be on file before his/her admission can be considered, please return it promptly.
Weimar Academy, PO Box 486, Weimar, CA 95736; Fax 530-422-7910; academy@weimar.org
Please select the number which best describes the applicant in each of the areas of growth listed below.
Note: 5 indicates the applicant is most like the characteristics on the left side, and 1 the characters on the right side. If you feel you cannot honestly evaluate a certain characteristic, please select the N/A.
Shy, Introverted, Unsocial
Immature, Shaking, Stagnating
Rash, Impulsive, Headstrong
Indifferent, Self-centered
Lazy, Incomplete, Needs supervision
No standards, Careless
Uninformed, careless, Seems sickly
Passive detrimental
Needs guidance, Irresponsible
can’t make ends meet, high risk
Slow, Unmotivated, self-satisfied
Dependent, Weak, Troubled
Rebellious, Querulous, Resentful
Δ
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