COLLEGE RECOMMENDATION FORM – Please complete this form, make as
many copies as you need, and give to each of your college recommenders.
Name:____________________________ _______________________________ _________________
Last
First
Middle
I.D.#_______________ E-mail __________________________________Cell phone_______________
I. FAMILY
Check the highest degree earned by each:
College attended by:
Mother _________________________________________
4 yr Bachelor
Master’s
Doctorate
Father _________________________________________
4 yr Bachelor Master’s
Doctorate
Brother(s)_______________________________________
4 yr Bachelor Master’s
Doctorate
________________________________________
4 yr Bachelor
Master’s
Doctorate
Sister(s) ________________________________________
4 yr Bachelor
Master’s
Doctorate
________________________________________
4 yr Bachelor
Master’s
Doctorate
II. STEVENSON ACTIVITIES (check years participated)
Actvity
9
10
11 12
Level of involvement
III. COMMUNITY/NON-STEVENSON ACTIVITIES
Religious organizations,
Summer programs, volunteer
(check years participated)
Work, etc.
9
10
11
12
Level of involvement
2/20/09/tm
IV. WORK EXPERIENCE
Employer
Position/Title
Hrs./Week Length of employment
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________