Grades K-12 School Report

Applicant Information

Applicant First Name *

Applicant Last Name *

Current Grade *

A note to the Head of School or Principal

This form should be completed by the teacher or administrator that knows the student best.

A full and candid report from his present school is necessary if he is to be given consideration by Brunswick’s admission committee. We therefore ask that you complete this form. Your comments will be held in the strictest confidence.

If you do not feel that you are the appropriate person to complete this recommendation, please pass it on to the division head, guidance counselor, or student’s advisor. Similar forms will be sent to the student’s teacher(s). Thank you for your assistance. Your remarks will be held in the strictest confidence and will be most appreciated as we begin review of the candidate’s personal characteristics and academic credentials.

Please click on the rating that best applies in each category

Academic Assessment *

	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Motivation	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Self-discipline	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Growth potential	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Achievement	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional

Social/Emotional Development *

	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Leadership	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Self-confidence/Sense of humor	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Concern for others	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Emotional maturity	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Personal maturity	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Respect accorded by faculty	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Ability to work with others	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Contribution to school community	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional

School Report

1. In what areas has the student shown any unusual ability or aptitude? *

2. Has the applicant been censured for academic or social behavior? If yes, please explain. *

3. Has the candidate’s home environment been a positive force in his development? *

4. Is the parents’ perception of their child compatible with the school’s understanding of the child? *

5. Please comment on the student’s relationship with his peers. *

6. Summary Appraisal: *

Summary

In relation to students of the same age you have known, how would you rate the candidate? *

	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Academic Promise	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Character and Personal Promise	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional
Overall Evaluation	1 - Weak	2 - Fair	3 - Good	4 - Excellent	5 - Exceptional

Recommender Information

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First Name *

Last Name *

Position *

School *

Telephone *

Email *

Re-enter email for accuracy *

Signature *

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Date * +