Counselor recommendation form

Thank you in advance for taking time to evaluate your student below. The information you provide on this form will be of assistance to the Admission Committee when making their decision.

Recommendation form

*Student first name:

*Student last name:

*Student address:

*City:

*State/Province:

*ZIP code:

*Student rank:

*Class size:

*Cumulative GPA:

*GPA scale:

Please rate applicant on:
Academic motivation:

Intellectual ability:

Disciplined work habits:

Maturity judgment:

Potential for growth:

Summary evaluation:

Would you like someone from the admission staff to call you about this student?
Yes No
Additional comments:

*Counselor first name:

*Counselor last name:

*Email:

*Office phone number:

*High school:

*High school address:

*City:

*State/Province:

*ZIP code: