Youth Activities Committee Teacher Recommendation Form 26-27

As a key component in the success of our Youth Activities Committee program, the City of Montclair’s Y.A.C. Members are expected to be mature, responsible, and reliable individuals capable of working well with others. To ensure these qualities we require each applicant to submit a teacher recommendation which will be considered when his/her application is reviewed. This evaluation is a confidential document, which will help us determine the individual’s strengths and weaknesses. Please be sure to include some of your own personal comments, as this could be a determining factor in whether an individual is accepted into our Youth Activities Committee program. Your time and thoughts are greatly appreciated. Please contact Emily Gomez-Medina (909) 625-9482 or via email at egmedina@montclairca.gov with any questions.

Recommendations must be received by Friday, April 24, 2026, at 7:00 p.m.

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* 1. Student's Name:

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* 2. What grade was the student in, when they were in your class?:

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* 3. Teacher's Name:

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* 4. Subject taught:

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* 5. School Name:

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* 6. School Phone Number:

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* 7. Please rate the student on the qualities listed below by checking the appropriate column.

	Outstanding	Above Average	Average	Below Average
Motivation to complete tasks	Motivation to complete tasks Outstanding	Motivation to complete tasks Above Average	Motivation to complete tasks Average	Motivation to complete tasks Below Average
Ability to work well with others	Ability to work well with others Outstanding	Ability to work well with others Above Average	Ability to work well with others Average	Ability to work well with others Below Average
Oral communication skills	Oral communication skills Outstanding	Oral communication skills Above Average	Oral communication skills Average	Oral communication skills Below Average
Written communication skills	Written communication skills Outstanding	Written communication skills Above Average	Written communication skills Average	Written communication skills Below Average
Creativity	Creativity Outstanding	Creativity Above Average	Creativity Average	Creativity Below Average
Self-Confidence	Self-Confidence Outstanding	Self-Confidence Above Average	Self-Confidence Average	Self-Confidence Below Average
Leadership	Leadership Outstanding	Leadership Above Average	Leadership Average	Leadership Below Average
Dependability	Dependability Outstanding	Dependability Above Average	Dependability Average	Dependability Below Average
Punctuality	Punctuality Outstanding	Punctuality Above Average	Punctuality Average	Punctuality Below Average

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* 8. Please use space provided to write a brief statement qualifying your rating of the student’s qualities.

Youth Activities Committee Teacher Recommendation Form 26-27

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* 1. Student's Name:

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* 2. What grade was the student in, when they were in your class?:

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* 3. Teacher's Name:

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* 4. Subject taught:

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* 5. School Name:

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* 6. School Phone Number:

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* 7. Please rate the student on the qualities listed below by checking the appropriate column.

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* 8. Please use space provided to write a brief statement qualifying your rating of the student’s qualities.

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* 9. Do you recommend this student to be a YAC Member?

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* 10. Teacher's Name/Signature:

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* 11. Date: