| Instructor's first and last name: |
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| Instructor's e-mail address: |
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| Student's first and last name: |
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| Student's e-mail address: |
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| State in which high school is located: |
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| City in which high school is located: |
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| Name of high school: |
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| In terms of his/her overall grade, how does this student compare with other students in this class?: |
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| Overall, how do you rate this student's interpersonal skills (5 being the highest)?: |
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| How do you rate this student's speaking skills (5 being the highest score)?: |
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| How do you rate this student's writing skills (5 being the highest)?: |
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| To what extent do you agree with this statement (5 being the largest extent)? This student is tolerant of views with which s/he otherwise disagrees: |
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| To what extent do you agree with this statement (5 being the largest extent)? This student has the potential to contribute to the study or practice of politics: |
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| Please use the space below to provide any additional comments: |
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