THIS SECTION TO BE COMPLETED BY STUDENT
After completing this section, ask your guidance counselor to complete the bottom part of this form and mail it to the Office of Admissions by the appropriate
deadline.
Student’s Full Name
Student’s Social Security Number
Student’s Home Phone
Student’s Street Address
City
State
Zip
Name of High School or College/University
City
State
Zip
Student Waiver
❏ I waive my right to future access to this document. ❏ I do not waive my right to future access to this document.
Signature ______________________________________________________________
Date________________________________________________________
THIS SECTION TO BE COMPLETED BY RECOMMENDER
This form will be used for both admission and scholarship decisions. Please send your letter of recommendation along with this form, a copy of the student’s
current high school transcript, and a school profile to our Office of Admissions.
How long have you worked with this student? ______________________________________________________________________________________________
Do you know this student in a capacity outside of your duties as counselor? ❏ Yes ❏ No If yes, please explain. ______________________________________
_______________________________________________________________________________________________________________________________________
Student’s cumulative grade point average is ______________(weighted) ______________(unweighted) as of ______________ on a ______________ point scale.
Does your school give weight to the following courses:
Advanced Placement (AP)
______ yes ______ no
International Baccalaureate (IB)
______ yes ______ no
Honors
______ yes ______ no
Other _____________________
______ yes ______ no
Advanced
______ yes ______ no
Please list your school’s grading scale if it is not reflected on the transcript:
A _________________ B _________________ C _________________ D _________________ F _________________
Are courses c