SCHOOL OF SAINT ANTHONY Lagro, Quezon City, Metro Manila Philippines Contact nos. +632-936-4806, +632-417-8565, Email:
[email protected] RECOMMENDATION FORM Surname
First Name
Middle Name
Gender
School
School Address
Level Applied for
To the Guidance Counselor/Class Adviser: This form is a confidential report written on behalf of the student whose name appears above and will be used solely for admission purposes. The Guidance Office of this institution would like to ask your careful ratings and assessment about his/her character and performance. Your frank and accurate evaluation evaluation will be of valuable valuable help in in processing processing his/her applicatio application n to our school. school. Please Please type or print your your responses clearly. 1. How long and in what capacity have you known this student?
2. What do you like best about this student? Has he/she made an impact either in your school or in the community?
3. Are there any factors that might interfere with his/her academic performance performance and/or personal relationship at our school?
4. Please describe any accomplishment or personal circumstances that we should know about this pupil/student?
5. Has he/she ever been suspended to any disciplinary action while enrolled in your school? If Yes, please explain.
Please check the trait, which represents your fair and honest estimate of the applicant, comparing his/her age group. Scholastic Achivement
Superior Above Average Average Below Average
School Conduct
Cooperates in observing rules and regulations Docile to the demands of the school Is involved in disciplinary problem/s
Personal Appearance Neat & well-dressed Somewhat untidy at times Generally untidy/dirty
Physical Condition Excellent Average Poor
Attendance
Punctuality
Rarely Absent Often Absent Frequently absent without valid reason Attitude in class
Shows interest and enthusiasm Easily get bored Shows no interest in class work
Always comes on time for class Occasionally tardy Frequently arrives late for class Response to correction
Open to correction Shows recentment (pouting, grumbling, etc.) Answers back
Obedience Sociability Respectful and courteous Enjoys the company of many friends Shows respect and courage only occasionaly Goes with just a few friends Disrespectful and rude Aloof, prefers to be alone Leadership
Has the ability to lead others Needs proddling to lead others Is more of a follower Emotional Disposition
Usually cheerful and happy Fairly good-natured Unresponsice, apathetic
Honesty
Highly trustworthy Generaly trustworthy Cannot be trusted at all Emotional Adjustment
Well-poised and emotionally stable Moderately adjusted Poorly adjusted
Please check your overall recommendation of the applicant to the School of Saint Anthony.
Strongly Recommended Recommended with reservation Recommended Not Recommended Name accomplishing this report
Position
