LETTER OF RECOMMENDATION REQUEST FORM

DATE SUBMITTED: ____/____/_____                      DATE NEEDED: ____/____/_____

STUDENT NAME: _________________________________ GRADE: ____

STUDENT E-MAIL: ____________________________________________________________

STUDENT CELL #: ____________________________________________________________

CUMULATIVE GPA: ____________CLASS RANK: ______________

THE RECOMMENDATION IS FOR: 

____        COLLEGE APPLICATION                ____ SCHOLARSHIP APPLICATION

____        EMPLOYMENT                        ____ INTERNSHIP                                ____ OTHER

PLEASE NAME EACH OF THE COLLEGE (S), SCHOLARSHIP(S), EMPLOYER(S), OR PROGRAMS THAT WILL RECEIVE THE LETTER HERE:

WHICH SIX ADJECTIVES BEST DESCRIBE YOU (CIRCLE):

Hard working

Insightful

Goal oriented

Perfectionist

Caring

Compassionate

Competitive

Mature

Easygoing

Creative

Enjoy learning

Assertive

Tolerant

Optimistic

Leader

Independent

Generous

Organized

Motivated

Fun loving

Good listener

Artistic

Determined

Sociable

Outgoing

Team player

Willing to help

Strong willed

Good speaker

Integrity

COURSES TAKEN:        

___ ACE COURSES        

___ DUAL ENROLLMENT:_______________________________________________________

___ INDEPENDENT STUDY COURSES: ___________________________________________

___TEST OUT PROCEDURE (TOP) FOR: _________________________________________

EXTRA-CURRICULAR AND PERSONAL ACTIVITIES LIST

SCHOOL RELATED OR NON SCHOOL RELATED ACTIVITIES (Clubs, teams, service organizations or other programs).  List most recent first:

ACTIVITY                                DESCRIPTION                                                GRADE

____________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

LEADERSHIP ROLES (president, captain, etc.):

TITLE/OFFICE                        DESCRIPTION                                                GRADE

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

COMMUNITY SERVICE ACTIVITIES

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________

WORK EXPERIENCE

EMPLOYER/POSITION                DESCRIPTION OF DUTIES                                YEAR

_________________________________________________________________________

_________________________________________________________________________

SPECIAL AWARDS/HONORS

AWARDS                        DESCRIPTION                                                         YEAR

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

WHAT COLLEGE DO YOU PLAN TO ATTEND? _____________________________________

WHAT MAJOR DO YOU WISH TO PURSUE? _______________________________________

WHAT CAREER DO YOU WISH TO PURSUE? ______________________________________

WHAT ARE YOUR FAVORITE ACADEMIC INTERESTS AND WHY? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

DESCRIBE YOUR STRENGTHS (ACADEMIC, SOCIAL, PERSONAL & TALENTS ETC.)

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________

SELF-EVALUATION QUESTIONNAIRE:

5= Always        4= Majority of the time         3= Sometimes               2= Almost never                 1= Never

1.        _____ Do you attend school regularly?

2.        _____ Are you on time for class?

3.        _____ Do you participate/volunteer in class?

4.        _____ Are you respectful to your classmates & staff?

5.         _____ Do you complete assignment/homework on time?

6.         _____ Do you ask questions when you don’t understand?

7.        _____ Are you willing to help others?

8.         _____ Are you motivated/enthusiastic about school?

9.        _____ Are you active in the school community?

10.        _____ Are you actively involved in programs outside of school?

If you had to write something about yourself, what would you say?  Write in the space below. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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10/2014 CRF