Recommendation Form

Student Name:

First Name

Last Name

Recommender Name:

First Name

Last Name

Recommender Title:

How long have you known this student?

In what context do you know this student?

Please rate the student in the following categories:

Please rate the student in the following categories:
	1 – Below Average	2 – Average	3 – Above Average	4 - Exceptional
Motivation	Please rate the student in the following categories:: Motivation (1 – Below Average)	Motivation (2 – Average)	Motivation (3 – Above Average)	Motivation (4 - Exceptional)
Self-Discipline	Self-Discipline (1 – Below Average)	Self-Discipline (2 – Average)	Self-Discipline (3 – Above Average)	Self-Discipline (4 - Exceptional)
College Readiness	College Readiness (1 – Below Average)	College Readiness (2 – Average)	College Readiness (3 – Above Average)	College Readiness (4 - Exceptional)
Co-Curricular Involvement	Co-Curricular Involvement (1 – Below Average)	Co-Curricular Involvement (2 – Average)	Co-Curricular Involvement (3 – Above Average)	Co-Curricular Involvement (4 - Exceptional)

Please describe the student’s ability to organize him or herself to work toward success.

Please provide any additional comments regarding the student’s academic performance, extracurricular activities, and/or personal characteristics that would help the admissions committee make an appropriate admission decision. Thank you!