Extracurricular Recommendation Form

Applicant Information

Applicant First Name *

Applicant Last Name *

Current Grade *

How long have you known the candidate? *

In what connection? *

A note to the person providing this recommendation

Thank you in advance for your time. Although we will receive school records, the admission committee greatly values input from others who have instructed or coached the candidate. We are grateful to you for candidly sharing your thoughts with us and assure you that all replies will be confidential and not retained as part of the student’s permanent record.

Please Comment

How long and in what capacity have you known the applicant? *

Please briefly describe your activity (time involved, productions, performances, publications). What is the student’s level of commitment? Please note any significant achievement or distinction. *

What adjectives or phrases would you use to describe the student? *

How does the student respond to:

Peers? *

Adults? *

Advice? *

Criticism? *

If the student were left in your group without supervision, he would most likely: *

assume responsibility to direct or organize the group

continue to work on his own

wait for further instruction

lose interest or possibly become disruptive

other (please explain)

We welcome any additional remarks.

Recommender Information

First Name *

Last Name *

Position *

Telephone *

Email *

Re-enter email for accuracy *

Signature *

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Date * +