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Richland County School District One 1616 Richland Street, Columbia, South Carolina 29201 SUBSTITUTE REFERENCE FORM Applicant information Reference Information rertnnore: Lgcorsha Pudie tt aeraennine 37 é lumbva Sc age Gree HeLBsatleyct Columbia Sc any Telephone: (£th 389- 99,50) Telephones Signature of Applicant = Date: How long and it what capacty have you known the sworn Peracnallty 3 Pi lease rate the applicant on te following skis, bilies and knowledge using te soae below Hicts Low Hick Profeasonatam SQ 3 21 Ayo cota temperinoade Sumenar Poet? ec © Punctuality QA 3 2 1 wityogetaongumeners © intone ®D 3 2 1 Aityts tnt naguive ehverces Stone work etic ODE 2 1 Muploavent Ast omnmcechatctonmer SG > | —_Smerkperomanc Whats is sophcants reste! srengn? Picans owe sirsi? Geisiens “eb =D. Shis a tanen plage In What area(s) would the applicant need. SUPPOFt. remediation, training, etc,? (please ‘SUPON Your opinion) tina tp ne Ae ean pS Sia ae eae eas $e Ditto Me slatement wrich best describes your opinion aout hs spplicant as a subsite feacher in Richland County Schoo Distict One, {Nay recommend his applicant asa subsue teacher. He/she is exceptional OC trecommend this appicant as a subsite teacher. Hoishe i above average |" Heel ths anpticant woud perform satiefactoriy as a substtute teacher Hersh is satetactory do notrecommend this applicant. "No comment. ter: Mer end Com St tet Oe cata shu wee ny uns? OX ven 9 no ; Best ime for our etice to contact you in egard to the above applicant? Date: Time: _F00%™ ~ Fee (0"08" Besse s Detellenes the Wid << S6222£08 Y90HOTIG 60°20 02-60-0102

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