Academic Recommendation

Applicant

First Name: *

Middle Name:

Last Name: *

TEACHER, PRINCIPAL OR GUIDANCE COUNSELOR

Please give your candid appraisal of the student’s academic performance, intellectual promise, and personal qualities. If you have written a letter on behalf of this candidate that responds to the sorts of questions we have asked, it is acceptable to check off the general ratings, sign it, and attach the letter.

Please understand that your recommendation may be made available for inspection at the student’s request pursuant to the Family Educational Rights and Privacy Act of 1974.

Recommender Information

Full Name: *

Position/School: *

Contact Number: *

How long have you known the student? *

In what capacity? *

Student Characteristics: *

	Outstanding (top few this year)	Excellent (top 10%)	Good (above average)	Average	Below Average	N/A
Academic motivation: *	Academic motivation: - Outstanding (top few this year)	Academic motivation: - Excellent (top 10%)	Academic motivation: - Good (above average)	Academic motivation: - Average	Academic motivation: - Below Average	Academic motivation: - N/A
Intellectual Creativity: *	Intellectual Creativity: - Outstanding (top few this year)	Intellectual Creativity: - Excellent (top 10%)	Intellectual Creativity: - Good (above average)	Intellectual Creativity: - Average	Intellectual Creativity: - Below Average	Intellectual Creativity: - N/A
Academic Potential: *	Academic Potential: - Outstanding (top few this year)	Academic Potential: - Excellent (top 10%)	Academic Potential: - Good (above average)	Academic Potential: - Average	Academic Potential: - Below Average	Academic Potential: - N/A
Critical Thinking: *	Critical Thinking: - Outstanding (top few this year)	Critical Thinking: - Excellent (top 10%)	Critical Thinking: - Good (above average)	Critical Thinking: - Average	Critical Thinking: - Below Average	Critical Thinking: - N/A
Open-mindedness: *	Open-mindedness: - Outstanding (top few this year)	Open-mindedness: - Excellent (top 10%)	Open-mindedness: - Good (above average)	Open-mindedness: - Average	Open-mindedness: - Below Average	Open-mindedness: - N/A
Self-confidence: *	Self-confidence: - Outstanding (top few this year)	Self-confidence: - Excellent (top 10%)	Self-confidence: - Good (above average)	Self-confidence: - Average	Self-confidence: - Below Average	Self-confidence: - N/A
Concern for others: *	Concern for others: - Outstanding (top few this year)	Concern for others: - Excellent (top 10%)	Concern for others: - Good (above average)	Concern for others: - Average	Concern for others: - Below Average	Concern for others: - N/A
Leadership: *	Leadership: - Outstanding (top few this year)	Leadership: - Excellent (top 10%)	Leadership: - Good (above average)	Leadership: - Average	Leadership: - Below Average	Leadership: - N/A
Work Ethic: *	Work Ethic: - Outstanding (top few this year)	Work Ethic: - Excellent (top 10%)	Work Ethic: - Good (above average)	Work Ethic: - Average	Work Ethic: - Below Average	Work Ethic: - N/A
Emotional maturity: *	Emotional maturity: - Outstanding (top few this year)	Emotional maturity: - Excellent (top 10%)	Emotional maturity: - Good (above average)	Emotional maturity: - Average	Emotional maturity: - Below Average	Emotional maturity: - N/A
Respect accorded by peers: *	Respect accorded by peers: - Outstanding (top few this year)	Respect accorded by peers: - Excellent (top 10%)	Respect accorded by peers: - Good (above average)	Respect accorded by peers: - Average	Respect accorded by peers: - Below Average	Respect accorded by peers: - N/A
Selflessness: *	Selflessness: - Outstanding (top few this year)	Selflessness: - Excellent (top 10%)	Selflessness: - Good (above average)	Selflessness: - Average	Selflessness: - Below Average	Selflessness: - N/A
Academic Achievements: *	Academic Achievements: - Outstanding (top few this year)	Academic Achievements: - Excellent (top 10%)	Academic Achievements: - Good (above average)	Academic Achievements: - Average	Academic Achievements: - Below Average	Academic Achievements: - N/A
Extracurricular/community Involvement: *	Extracurricular/community Involvement: - Outstanding (top few this year)	Extracurricular/community Involvement: - Excellent (top 10%)	Extracurricular/community Involvement: - Good (above average)	Extracurricular/community Involvement: - Average	Extracurricular/community Involvement: - Below Average	Extracurricular/community Involvement: - N/A
Character and personal qualities: *	Character and personal qualities: - Outstanding (top few this year)	Character and personal qualities: - Excellent (top 10%)	Character and personal qualities: - Good (above average)	Character and personal qualities: - Average	Character and personal qualities: - Below Average	Character and personal qualities: - N/A
Overall: *	Overall: - Outstanding (top few this year)	Overall: - Excellent (top 10%)	Overall: - Good (above average)	Overall: - Average	Overall: - Below Average	Overall: - N/A

This report is based upon:

Personal observation and/or contact with student

Other counselors' observations

Teachers' comments

Records

General Evaluation

How would you describe the student's participation and performance in class?

What particular academic strengths or weaknesses stand out for this student?

Are there any noteworthy contributions the applicant has made to the school and/or community?

Are there any special circumstances in the students background that would help us better understand and appreciate his or her academic or extracurricular performance?

Signature:

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TEACHER, PRINCIPAL OR GUIDANCE COUNSELOR

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