Mrs. J. Beth Ciesielski, Executive Director & Founder	94 Lamarck Drive  Buffalo, NY 14226
Bridges for Education, Inc.	TEL 716-839-0180  FAX 716-839-9493
E-Mail: jbc@bridges4edu.org
Webpage - http://www.bridges4edu.org
BRIDGES FOR EDUCATION RECOMMENDATIONS: 2010
Three professional work references are required before approval.
**SEND TO Group Leader____________________________________
 Address:________________________Country___________

Applicant Name_________________________________
Address______________________Where employed________________________________
Certification areas(s)_______________________________
*This candidate has applied for consideration as a teacher for a summer school of conversational English in Eastern Europe and Asia. Volunteers in this program travel to other countries in July to teach high school students for three weeks. Through their participation in this program, these teachers help foster international understanding by bringing their attitudes and cultural ideas to other people. Accommodations are often BASIC. We guarantee uncertainty and we promise that things will go wrong. Your cooperation is essential to make certain that the participants in this program are of the HIGHEST CALIBER. Please indicate how well the candidate qualifies for this program.

                                              EXCELLENT    GOOD      FAIR    POOR
Initiative                                         _____        _____       _____     _____
Flexibility –very important              _____        _____       _____     _____
Patience                                          _____        _____       _____     _____
Maturity and Recognition               _____         _____       _____     _____
of Personal Responsibilities
Interpersonal Skills                         _____        _____       _____     _____
(we need team players)
Attitude toward authority               _____        _____       _____     _____
Personal Presence:
  appearance                                    _____        _____       _____     _____
  enthusiasm                                    _____        _____       _____     _____
  personality                                    _____        _____       _____     _____
  health                                            _____        _____       _____     _____
Understanding of the
USA and World Affairs                   _____        _____       _____     _____
Teaching skills                                 _____       _____        _____     _____

***Describe candidate's teaching style on back, ie., lecture, group discussion, etc. Our motto
is, "Teachers speak 25%, students speak 75%."***  OVERALL RECOMMENDATION:
HIGHLY RECOMMENDED____RECOMMENDED ____NOT RECOMMENDED ____

Please use the back of this form for additional comments about the candidate. Essentially we need flexible, mature, kind, happy, intelligent, patient, and physically and mentally healthy people. Bridges for Education reserves the right to contact all references.
Name_____________________________________ Job Title_______________________________
School/Company Name____________________________Tel._____________email____________Date______
Connection to candidate:___________________Comments:_________________________________________