Principal/ Head/ Counselor Recommendation Form

Your Name

Title School

How well do you know the student academically?

As a person?

Recent teacher reports, if any

Standardized test scores

A school profile,if available

Final or mid-semester grades for current term (must be included)

Grades since 6th grade,if available
(for younger children,grades for all years)

In what month does your school year begin?

end?

Number of students in entire school

Does your school use a block scheduling system?

Yes

No

Please explain your school’s grading system.What is the passing mark?

Honors mark?

What percentage of your students receive which grades?

Does your school rank?

Yes

No

Is your rank

Approximate

Exact

How many students are in the entire grade?

This candidate ranks

out of

other students share this rank.

If yes,please tell us in which level the applicant is placed for each subject

What are the first three words that come to mind to describe this student?

1

2

3

If the student’s attendance record is not listed on the transcript,please indicate the number of days he or she has been absent or tardy each year while at your school.

If the student is not,or has not been,in good academic standing,please explain.

Has the student ever been dismissed,suspended,placed on probation,or received other serious disciplinary sanction?

Yes

No

Has he or she withdrawn from school voluntarily for an extended period of time for reasons other than health?

Yes

No

If the answer to either or both of these questions is yes,please provide a full explanation

Intellectual Curiosity

Effort/Determination

Ability to Work Independently

Willingness to Take Intellectual Risks

Concern for Others

Maturity (relative to age)

Respect Accorded by Faculty

Respect Accorded by Peers

Emotional Stability

Overall Evaluation as a Person

Overall Evaluation as a Student

If the student is relatively weak or strong in any areas listed above,please elaborate

Please comment on this student’s character,citizenship,and contributions to your community.

Please add any additional information that will give us a more complete picture of the student.

Mailing address

E-mail address

Telephone

Principal/ Head/ Counselor Recommendation Form

Principal/Head/Counselor Recommendation Form