VINCENNES UNIVERSITY UPWARD BOUND

VINCENNES UNIVERSITY UPWARD BOUND

HIGH SCHOOL TEACHER OR COUNSELOR RECOMMENDATION FORM
Student's Name
Date

MonthDayYear
Date
Recommender's Name
Title
1. What sort of class attendance does this student have?

Perfect attendanceMissed only 1-2 days per semesterMissed 3-9 days per semesterMissed more than 9 days per semester
2. How well does the student get along with peers?

Very poorlyPoorlyAverageWellVery well
3. If you have or have had this student in class, what is the nature of this student's class work and homework assignments?

Very poor qualityPoor qualityAverageHigh qualityVery high quality
4. If you have or have had this student in class, what is the nature of this student's class work and homework assignments?

No work turned inSome work is turned inAverageMost work is turned inAll work is turned in
If you have or have had this student in class, what is the nature of this student's class work and homework assignments?

Work is always lateWork is sometimes lateAverageWork is mostly on timeWork is always on time
Have you had any behavioral or discipline problems with this student?

YesNo
If yes, how often?

OnceOccasionallyContinually
5. Upward Bound is a project designed to help high school students achieve academically, socially, and personally so the transition from high school to college is less difficult. Upward Bound provides individualized support for each student. In what area do you feel he/she would need help? Please explain your answer.
Academic skills
Social skills
Personal skills
Should be Empty: