Student Recommendation Information Form
Student Recommendation Information Form Laurel Springs School Personal Information 302 W. El Paseo Rd. Ojai, CA 93023 1615 West Chester Pike West Chester, PA 19382 800.377.5890 805.646.0186 fax www.LaurelSprings.com School Code: 052256 College Counseling Department [email protected] Credentials • Accredited by Western Association of Schools and Colleges (WASC) • Accredited by AdvancED • Accredited by Southern Association of Colleges and Schools (SACS) • Member of the National Association of Independent Schools (NAIS) • Member of the International Association for Online Learning (iNacol) • Courses meet University of California (UC) a-g requirements • Learning Style Model School • National Honor Society (NHS) & National Junior Honor Society (NJHS) • Courses approved by the National Collegiate Athletic Association (NCAA) Student Name Date Email Address Have you graduated from Laurel Springs School? Yes No If yes, in what year did you graduate? If no, in what month and year are you planning to graduate? Home Phone Number Cell Phone Number In a unique environment such as Laurel Springs, this questionnaire is designed to assist your school counselor get to know you beyond your academic records. Your school counselor may not be aware of some aspects of your personality, experiences, and activities. Therefore, your responses to these questions should include information beyond what appears on your transcripts or the activity participation you listed on your applications. Tell us more about yourself so that we can create a full and interesting picture of you in the letter of recommendation we write. Take the time to complete this form thoroughly and thoughtfully. Remember to include any pertinent information you would want us to include in your letter of recommendation. Personal Analysis 1. List four adjectives that describe you best:________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ 2. My greatest personal strengths (areas I have developed and feel good about) are: ____________________________________________________________________ ____________________________________________________________________ 11/2013 page 1 Student Recommendation Information Form ____________________________________________________________________________________________ 3. What has been your greatest challenge, and how did you overcome it? _________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 4. Is there anything unique or unusual about your family that has had a significant impact on you? _____________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 5. Have a close friend or family member describe you in two to three sentences. ___________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________ Academics, Achievements and Activities 6. Are there any circumstances in your life that might have had a negative impact on your academic performance? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 7. Describe the most meaningful or enjoyable course you have taken so far and how it has impacted you: ________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 8. Please list and describe any significant awards, honors or certificates you have received (Include dates if appropriate): _________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ page 2 Student Recommendation Information Form 9. Please list any clubs or organizations to which you belong or positions you have been elected to: _____________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 10. Describe your most meaningful community service/volunteering experience: ____________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 11. What are your hobbies or interests outside of school? _____________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 12. What makes you unique or different from your peers? ______________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ College Interest 13. Where do you see yourself in 10 years? What will you be doing for your career and what have you accomplished? ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 14. What are you planning to study in college? If you are undecided, please indicate areas of study that interest you: ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 15. How have you changed in high school and what are you looking forward to most in college? ________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ page 3 Student Recommendation Information Form School Information Please list all of the schools you are applying to, application due dates, and check off the application materials required by the college. You can print out or copy this page if you are applying to more than six colleges. If you will be applying via the online Common App, please make sure to put your assigned Laurel Spring counselor’s information in the School Section of the application so that we can access and upload all of the required documents. LOR = Letter or Recommendation OT = Official Transcript School Name & Address Postmarked Deadline e.g., Brown University - deadline (exact date of deadline) Box 1876, Providence, RI 02912 LOR X School Paper ...Common Form or... APP Online X OT X page 4 Student Recommendation Information Form Please list any Collegeboard or ACT test scores and the dates that you took each test. Test Composite Test Date Critical Reading Math Writing Test Date Test Name Score Test Name Score Test Name Score Test Name Score ACT ACT ACT Test SAT SAT SAT Test SAT Subject SAT Subject AP AP Please Note 1. As you complete your college research, you should have one school from each of the following categories: a. Reach School – which means it would be a stretch for you to be admitted (based on their minimum GPA and SAT/ACT requirements), but you would like to apply because it is a dream school or it offers your major b. Good Fit or Realistic School – which means based on their minimum GPA and SAT/ACT requirements you are a solid match and this school offers the area of interest or major you want to pursue c. Safety School – which means you are well above their minimum GPA and standardized testing requirements. This school may not be on top of your list, but it will be an option that you have in case of the choices don’t work out. This school also offers the area of interest or major you want to pursue 2. All requests for recommendations or paperwork from Laurel Springs School and its instructors must be received 45 days prior to their due date. Requests submitted after the 45 day mark will be completed based on the order in which they were received. For late submissions, we will do our best to complete all required documentation prior to the college deadline. 3. In order to consider your request received, you must have completed the following: • original forms and pre-addressed stamped envelopes for each institution (submitting paper applications) • completed and signed College Application and Recommendation Policy Form • completed Student Information Form Thank you for completing the Student Recommendation Information Form! If you have any questions please feel free to contact us at [email protected]. page 5
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