GutsX Recommendation Form

Recommendation Form
Please answer as accurately and honestly as you can on these questions. We understand that your answer is your personal view of the applicant's capacity. You do not help the applicant by witholding information that you may think has a negative impact on our assessment.This is a confidential document and will only be viewed by our leadership team and not the applicant.
APPLICANT INFO
First Name*
Last Name*
Year Applying*
Your Relationship to Applicant*
YOUR INFORMATION
First Name*
Last Name*
Position*
Employer*
City*
Cell Phone*
Email*
How long have you known the applicant? (years)*
APPLICANT PROFILE
LEADERSHIP

Please rate the applicant accordingly: *

If you consider the applicant to be particularly strong or weak in any of the above, please elaborate:
Character

Please rate the applicant accordingly: *

	Excellent	Good	Average	Below Average	Do Not Know
Honesty
Reliability
Integrity
Relationship with peers
Relationship with leadership

If you consider the applicant to be particularly strong or weak in any of the above, please elaborate:
PERSONAL

Please rate the applicant accordingly:

Please describe a strength of the applicant and how you have seen it utilized well:*
Please describe a weakness of the applicant and how you have seen it impact those influenced by the applicant or how the applicant has attempted to improve:*
Please mark any of the following you know the applicant has partaken in the past 6 months:*

AlcoholTobaccoDrugsNone of the above
IN SUMMARY
Please indicate the strength of your recommendation:
I recommend this student:

Very StronglyStronglyComfortablyWith ReservationsDo not recommend
Please elaborate:*
I declare that all information provided is correct and understand that false, inaccurate or misleading information can impact the applicant's admission opportunity.
Signaure*

Clear
Date*

DayMonthYear
Should be Empty: