School Administrator Recommendation Form

School Administrator Recommendation Form

Principal, Academic Counselor, or Assistant Principal
The applicant named in the initial email has applied to Maur Hill - Mount Academy and has given your name as a reference. Please indicate your opinions of this student with respect to any of the following areas in which you feel qualified to judge from your observation, records, and personal experience. Your communications will remain confidential. Please contact the MH-MA Admission Office (admissions@mh-ma.com) with any questions. Thank you for your assistance.
Student Name

First NameLast Name
Applying for Grade
9, 10, 11, 23
Parent(s):
What are the first words that come to mind to describe this student?

Please rate the student on each of the categories below

Rows	Outstanding	Above Average	Average	Below Average	Unsure/Unable to judge
Relationship with peers
Relationships with parents
Respect for authority
Maturity
Concern for others
Self-Confidence
Dependability
Exercises good judgment
Self-Esteem appearance
Leadership Ability
Cooperation
Intellectual ability
Attendance
Extracurricular Activities

Please answer each of the following questions:

Rows	Yes	No	N/A
Is the student in good standing and eligible to reenter your school if you offer the next grade level?
Has there been any discipline issues or action taken with the student?
Has the candidate been involved with alcohol or drugs?
Does the candidate have any physical or emotional limitations?
Are the parents cooperative?

How would you compare this student to others you have observed in similar circumstances?
I recommend this student be admitted to Maur Hill - Mount Academy:
Please feel free to write any additional comments pertaining to this student:
Recommenders Name

First NameLast Name
Title/Position
School Name
Email
example@example.com
Teacher's Signature
Date Signed

MonthDayYear
Date
Should be Empty: