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* 1. Teacher Applicant Name:

The above applicant is applying to be a part of the Ketchikan-Kanayama Exchange Program. He/She would like your evaluation of how you think he/she will fit in as the teacher in Gero-Kanayama for one to two years.

This information will be treated as CONFIDENTIAL and not shared with the applicant. Please answer honestly.
Thank you for your help in the selection process

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* 2. How long have you known this applicant?

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* 3. In what capacity?

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* 4. What characteristics or attributes best describe this applicant?

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* 5. In what area(s) is this applicant most exceptional?

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* 6. How well do you feel the applicant participates within a group setting?

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* 7. How well does this applicant communicate with others?

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* 8. Is this candidate trustworthy?

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* 9. Comment on trustworthiness:

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* 10. Does this candidate respect authority?

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* 11. Comment on respecting authority:

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* 12. How well does this candidate tolerate difference and respect others?

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* 13. Comment on tolerating differences and respecting others:

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* 14. Is this candidate reliable and prompt?

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* 15. Does this candidate possess leadership skills?

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* 16. Does this applicant make his/her own decisions despite obvious pressure from others?

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* 17. Comment on decision making skills.

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* 18. How well do you think the applicant will manage in Japan?

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* 19. Please make any other comments about your general impression of the applicant.

Interpersonal Relations

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* 20. As you observe this applicant in relation to other people, is he/she usually Cooperative?

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* 21. As you observe this applicant in relation to other people, is he/she usually Respectful?

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* 22. As you observe this applicant in relation to other people, is he/she usually looked to for guidance?

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* 23. As you observe this applicant in relation to other people, is he/she usually outgoing?

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* 24. As you observe this applicant in relation to other people, is he/she usually sensitive to others?

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* 25. Comments on the above responses:

How well does this applicant react to:

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* 26. Physical discomfort?

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* 27. Stress / Discomfort?

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* 28. A sudden change in schedule?

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* 29. An awkward or embarrassing situation?

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* 30. Would you have any reservations with this applicant working with children in a foreign country?

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* 31. Please make any other comments about your general impression of this applicant.

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* 32. Your name:

Thank you

Your time and comments will help us as we make our selections for the next teacher to Gero-Kanayama, Japan. Remember your responses are confidential.

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