Recommendation Forms by qbp35905

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									Part 4: Recommendation Forms
•	   The	Standard	Application	includes	a	number	of	school	forms:
	    •	 Recommendation	-	School	Head/Principal
	    •	 Recommendation	-	English	Teacher
	    •	 Recommendation	-	Math	Teacher
	    •	 Academic	Record/Transcript
•	 Parents	should	sign	the	release	and	give	the	forms	to	the	appropriate	school	personnel	for	completion	and	
   submission	to	all	the	schools	to	which	your	child	is	applying.
•	 Some	schools	may	ask	you	to	submit	all	or	only	some	of	these	forms.		If	you	have	questions	about	the	admission	
   process,	please	contact	the	schools	to	which	you	are	applying	before	submitting	these	forms.
 Principal/Head/Counselor Recommendation Form

To the Applicant
•	 Complete	this	page,	then	give	form	to	your	current	Principal,	Head	or	Counselor.
•	 The	school	official	should	complete	this	form	only	once	and	mail	a	copy	to	all	of	the	schools	to	which	you		
   are	applying.


Name	of	applicant	(please	print)												        						                               Applicant	to	grade	


Signature	of	applicant																									     						                               Date	



To the Parent/Guardian
•	 Please	read	and	sign	the	statement	below.

I acknowledge that I waive my right to read the confidential teacher recommendation and the school report for the student
listed above.


Name	of	parent	or	guardian	(please	print)																									                       Relationship	to	applicant	


Signature	of	parent	or	guardian																									                                 Date	



To the School Official
•	 This	form	is	part	of	the	Standard	Application	being	used	by	many	independent	schools	in	the	USA,	Canada	and	abroad.
•	 The	submitted	forms	and	records	will	be	confidential.	Be sure the parent/guardian has signed the form in the
   space above.
•	 You	should	complete	one	copy	of	this	form	per	student	and	mail	a	copy	of	your	recommendation	to	all	of	the	
   schools	to	which	the	student	is	applying.	
•	 When	completed,	be	sure	to	submit	all	pages	of	this	form,	including	this	page,	signed	by	the	applicant/parent.	You	
   may	include	additional	sheets	as	requested.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s
application.


Name	of	school	official	(please	print)																									                          	 Title


Signature	of	school	official	                       																									            	 School	




                                                                                1 of 3
                                                                               Principal/Head/Counselor Recommendation Form




Applicant	Name	                              					



How	well	do	you	know	the	applicant	academically?	                                                     	



How	well	do	you	know	the	applicant	personally?	                                                       	



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



1.	                                          n2.	                                                     n3.


Please	place	check	marks	at	the	points	that	represent	your	evaluation	of	the	student	in	comparison	to	other	students	in	his	or	her	age	group	whom	
you	have	taught.	If	you	have	no	fair	basis	for	judgement,	do	not	hesitate	to	say	so.



			                                         One of the top
                                           few I have ever        Excellent              Good                          Below         No basis for
                                             encountered     (top 10% this year)    (above average)         Average   average        judgement

 Academic	Potential
		Academic	Achievement
		Intellectual	Curiosity
		Effort/Determination
		Ability	to	Work	Independently
		Organization
		Creativity
		Willingness	to	Take	Intellectual	Risks
		Concern	for	others
		Honesty/Integrity
		Self-esteem
		Maturity	(relative	to	age)
		Responsibility
		Respect	Accorded	by	Faculty
		Respect	Accorded	by	Peers
		Emotional	Stability
		Overall	Evaluation	as	a	Person
		Overall	Evaluation	as	a	Student




                                                                           2 of 3
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	provided	any	additional	information	that	will	give	us	a	more	complete	picture	of	the	student.




Signature	of	school	official	                  																									                                     	 Date	



School	Street	Address	                         City																																			State/Province						    Zip/Postal	Code																									Country



Email	                                         Phone	                                                        			Mobile



                                                                                3 of 3
 English Teacher Recommendation Form

To the Applicant
•	 Complete	this	page,	then	give	form	to	your	current	English	Teacher.
•	 The	teacher	should	complete	this	form	only	once	and	mail	a	copy	to	all	of	the	schools	to	which	you	are	applying.


Name	of	applicant	(please	print)												        						                         Applicant	to	grade	



Signature	of	applicant																									     						                         Date	



To the Parent/Guardian
•	 Please	read	and	sign	the	statement	below.

I acknowledge that I waive my right to read the confidential teacher recommendation and the school report for the student
listed above.


Name	of	parent	or	guardian	(please	print)																									                 Relationship	to	applicant	



Signature	of	parent	or	guardian																									                           Date	



To the Teacher
•	 This	form	is	part	of	the	Standard	Application	being	used	by	many	independent	schools	in	the	USA,	Canada	and	abroad.
•	 The	submitted	forms	and	records	will	be	confidential.	Be sure the parent/guardian has signed the form in the
   space above.
•	 You	should	complete	one	copy	of	this	form	per	student	and	mail	a	copy	of	your	recommendation	to	all	of	the	
   schools	to	which	the	student	is	applying.	
•	 When	completed,	be	sure	to	submit	all	pages	of	this	form,	including	this	page,	signed	by	the	applicant/parent.	You	
   may	include	additional	sheets	as	requested.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s
application.


Name	of	teacher	(please	print)																									                            	 Title




                                                                     1 of 3
                                                                            English Teacher Recommendation Form



Applicant	Name	                               					


How	well	do	you	know	the	applicant	academically?	                                              	


How	well	do	you	know	the	applicant	personally?	                                                	


In	what	years	did	you	teach	the	student?	     	                             nHow	large	is	the	class?	
What	course(s)?	                              	                             nIs	the	student	on	a	block	schedule?	

Is	this	course	part	of	a	tracking	system	or	designated	as	an	honors	or	accelerated	course?			o Yes			o No


Briefly	describe	your	course.	It	is	especially	helpful	to	know	what	texts	are	used	and	if	the	students	are	grouped	by	ability.




How	accurately	does	the	student	read	and	understand	what	he	or	she	has	read?




How	well	does	the	student	write	in	comparison	with	other	students	whom	you	have	taught?	Be	specific	about	the	areas	of	strength	and	weakness.




How	well	does	the	student	accept	advice	or	criticism?




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


1.	                                           n2.	                                             n3.
                                                                         2 of 3
                                                                                        English Teacher Recommendation Form


Applicant	Name	                                					

Please	place	check	marks	at	the	points	that	represent	your	evaluation	of	the	student	in	comparison	to	other	students	in	his	or	her	age	group	whom	
you	have	taught.	If	you	have	no	fair	basis	for	judgement,	do	not	hesitate	to	say	so.
			                                           One of the top
                                             few I have ever               Excellent              Good                                      Below             No basis for
                                               encountered            (top 10% this year)    (above average)             Average           average            judgement

 Academic	Potential
		Academic	Achievement
		Intellectual	Curiosity
		Effort/Determination
		Ability	to	Work	Independently
		Organization
		Creativity
		Willingness	to	Take	Intellectual	Risks
		Concern	for	others
		Honesty/Integrity
		Self-esteem
		Maturity	(relative	to	age)
		Responsibility
		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	provided	any	additional	information	that	will	give	us	a	more	complete	picture	of	the	student.




Signature	                                     																									                                       	 Date	


School	Street	Address	                         City																																			State/Province						      Zip/Postal	Code																									Country


Email	                                         Phone	                                                          			Mobile

                                                                                    3 of 3
 Mathematics Teacher Recommendation Form
To the Applicant
•	 Complete	this	page,	then	give	form	to	your	current	Math	teacher.
•	 The	teacher	should	complete	this	form	only	once	and	fax	or	mail	a	copy	to	all	of	the	schools	to	which	you		
   are	applying.




Name	of	applicant	(please	print)												        						                         Applicant	to	grade	


Signature	of	applicant																									     						                         Date	



To the Parent/Guardian
•	 Please	read	and	sign	the	statement	below.

I acknowledge that I waive my right to read the confidential teacher recommendation and the school report for the student
listed above.


Name	of	parent	or	guardian	(please	print)																									                 Relationship	to	applicant	


Signature	of	parent	or	guardian																									                           Date	



To the Teacher
•	 This	form	is	part	of	the	Standard	Application	being	used	by	many	independent	schools	in	the	USA,	Canada	and	abroad.
•	 The	submitted	forms	and	records	will	be	confidential.	Be sure the parent/guardian has signed the form in the
   space above.
•	 You	should	complete	one	copy	of	this	form	per	student	and	mail	a	copy	of	your	recommendation	to	all	of	the	
   schools	to	which	the	student	is	applying.	
•	 When	completed,	be	sure	to	submit	all	pages	of	this	form,	including	this	page,	signed	by	the	applicant/parent.	You	
   may	include	additional	sheets	as	requested.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s
application.


Name	of	teacher	(please	print)																									                            	 Title




                                                                     1 of 3
                                                                                   Mathematics Teacher Recommendation Form



Applicant	Name	                               					


How	well	do	you	know	the	applicant	academically?	                                  nHow	well	do	you	know	the	applicant	personally?	          	


In	what	years	did	you	teach	the	student?	     	                                    nIs	the	student	on	a	block	schedule?
What	course(s)?	                              	                                    nHow	large	is	the	class?	
Is	this	course	part	of	a	tracking	system	or	designated	as	an	honors	or	accelerated	course?			o Yes			o No

Briefly	describe	your	course.	It	is	especially	helpful	to	know	what	texts	are	used	and	if	the	students	are	grouped	by	ability.




Next	year	what	math	course	would	be	the	most	appropriate	placement	for	the	student?______________________________________________


Student’s Mathematical Background
The	courses	listed	below	suggest	a	sequence	typical	of	the	mathematics	curriculum	in	many	U.S.	secondary	schools.	If	your	school	does	not	follow	this	
sequence,	please	attach	your	curriculum.	Please	check	those	courses	or	list	others	which	the	student	will	have	completed	by	the	end	of	the	current	year.

o Basic	First	Year	Algebra	(does not include extensive study of	                      o Pre-Calculus	(including analytical trigonometry)
	 rational expressions, irrational numbers, and quadratic equations)
                                                                                      o Calculus	(an introduction)
o First	Year	Algebra (a thorough course which included quadratics)
                                                                                      o Calculus	(Advanced Placement AB)
o Geometry
                                                                                      o Calculus	(Advanced Placement BC)
o Second	Year	Algebra	(not	including	trigonometry)
                                                                                      o __________________________________________
o Second	Year	Algebra	(includes numerical trigonometry through
	 the laws of sine and cosine)                                                        o __________________________________________

                                                       One of the top
                                                      few I have ever        Excellent             Good                           Below     No basis for
                                                        encountered     (top 10% this year)   (above average)   Average          average    judgement

		Knowledge	of	the	Basic	Skills
		Accuracy	in	the	Use	of	Basic	Skills
		Problem	Solving	Ability
		Reasoning	Ability
		Understanding	of	and	Appreciation	for	
		the	Underlying	Ideas	and	Concepts
		Effort
		Overall	Performance
		Willingness	to	Accept	the	Challenge	of	
		the	More	Difficult	Problems	and	Exercises
		Command	of	Mathematics	Compared	to	
		Other	Students	Whom	You	Have	Taught		


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


1.	                                           n2.	                                                        n3.
                                                                               2 of 3
                                                                                        Mathematics Teacher Recommendation Form


Applicant	Name	                                					

Please	place	check	marks	at	the	points	that	represent	your	evaluation	of	the	student	in	comparison	to	other	students	in	his	or	her	age	group	whom	
you	have	taught.	If	you	have	no	fair	basis	for	judgement,	do	not	hesitate	to	say	so.
			                                           One of the top
                                             few I have ever               Excellent              Good                                      Below             No basis for
                                               encountered            (top 10% this year)    (above average)             Average           average            judgement

 Academic	Potential
		Academic	Achievement
		Intellectual	Curiosity
		Effort/Determination
		Ability	to	Work	Independently
		Organization
		Creativity
		Willingness	to	Take	Intellectual	Risks
		Concern	for	others
		Honesty/Integrity
		Self-esteem
		Maturity	(relative	to	age)
		Responsibility
		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	provided	any	additional	information	that	will	give	us	a	more	complete	picture	of	the	student.




Signature	                                     																									                                       	 Date	


School	Street	Address	                         City																																			State/Province						      Zip/Postal	Code																									Country


Email	                                         Phone	                                                          			Mobile

                                                                                    3 of 3
 Academic Record Form

To the Applicant
•	 Complete	this	page,	then	give	form	to	your	current	Registrar,	Principal,	Head	or	Counselor.
•	 The	school	official	should	complete	this	form	only	once	and	mail	a	copy	to	all	of	the	schools	to	which	you		
   are	applying.


Name	of	applicant	(please	print)												        						                               Applicant	to	grade	



Signature	of	applicant																									     						                               Date	



To the Parent/Guardian
•	 Please	read	and	sign	the	statement	below.

I authorize release of my child’s school records. I will not seek access to confidential recommendation and evaluation materials.


Name	of	parent	or	guardian	(please	print)																									                       Relationship	to	applicant	



Signature	of	parent	or	guardian																									                                 Date	



To the School Official
•	 This	form	is	part	of	the	Standard	Application	being	used	by	many	independent	schools	in	the	USA,	Canada	and	abroad.
•	 The	submitted	forms	and	records	will	be	confidential.	Be sure the parent/guardian has signed the form in the
   space above.
•	 You	should	complete	one	copy	of	this	form	per	student	and	mail	a	copy	of	your	recommendation	to	all	of	the	
   schools	to	which	the	student	is	applying.	
•	 When	completed,	be	sure	to	submit	all	pages	of	this	form,	including	this	page,	signed	by	the	applicant/parent.	You	
   may	include	additional	sheets	as	requested.

Thank you for taking your valuable time to complete this form. Your reflections are an important part of the student’s
application.




Name	of	school	official	(please	print)																									                          	 Title



Signature	of	school	official	                       																									            	 School	




                                                                                1 of 2
                                                                                    Academic Record Form




Applicant	Name	                                					


   Submit the following materials with this form:
   All	materials	must	be	submitted	together	with	this	form	and	signed	cover	page.	Where	possible,	send	materials	as	single-sided,	8	1/2	x	11	
   pages;	do	not	staple.	Submit	summary	reports,	where	possible.

   o Final	or	mid-semester	grades	for	fall	term	(must	be	included)	                                     o Recent	teacher	reports,	if	any
   o Grades	since	6th	grade,	if	available	(for	younger	children,	grades	for	all	years)	                 o Immunization	and	medical	records
   o Standardized	test	scores.


School Profile
School	serves	grades:	_______	to	_______.			Number	of	students	in	entire	school:	_______

In	what	month	does	your	school	year	begin?	_________________	end?	_________________

Does	your	school	use	a	block	scheduling	system?				o	Yes						o	No

Please explain your school’s grading system:
Select	one:	o	4.0	Scale							o	4.3	Scale							o	1	-	5							o	100	-	0							o	A	-	F	o	Four	Passing	Grades							o	Three	Passing	Grades

What	is	the	passing	mark?	________	Honors	mark?	_________			What	percent	of	your	students	receive	which	grades?	____________________

Does	your	school	rank?				o	Yes				o	No									Is	your	rank:				o	Approximate				o	Exact			How	many	students	are	in	the	entire	grade?	__________


Student Record
This	candidate	ranks	_______	out	of	_______.							_______	other	students	share	this	rank.

Are	students	placed	in	sections	according	to	ability?					o	Yes					o	No					If	yes,	please	tell	us	in	which	level	the	applicant	is	placed	for	each	subject.




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	standing,	please	explain.




Has	the	student	ever	been	dismissed,	suspended,	placed	on	probation,	or	received	other	serious	disciplinary	sanction?							o	Yes							o	No
Has	he	or	she	withdrawn	from	school	voluntarily	for	an	extended	period	of	time	for	reasons	other	than	health?																	o	Yes							o	No
If	the	answer	to	either	or	both	of	these	questions	is	yes,	please	provide	a	full	explanation	on	a	separate	piece	of	paper.



Signature	                                     																									                                     	 Date	



School	Street	Address	                         City																																			State/Province						    Zip/Postal	Code																									Country



Email	                                         Phone	                                                        			Mobile

                                                                                2 of 2

								
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