Cooper International Academy Character Reference Request

CHARACTER REFERENCE REQUEST FOR*
Student Applicant's Name
To the Recommender:

The above named applicant is applying for enrollment to Cooper International Academy. Our program is a competitive and demanding sports training program. Our student body comprises individuals from across the USA. The program should be undertaken only by students/athletes of unquestioned motivation. Individual character, integrity and initiative are important to success in our community since demands on the individual are high.

We thank you in advance for the help your judgments will provide. Your knowledge of the applicant and willingness to give us an honest appraisal will prove invaluable in our decision making process. We assure you that all aspects of your recommendation will be kept confidential.
Today's Date*

MonthDayYear
Date
Your Name*
Occupation or Title*
Relationship with applicant*
How many years have you known applicant?*
1. Applicant Evaluation

Please rate the applicant in the following areas based on your personal experience. Select the option that best describes their qualities.

Rating Scale*

	Excellent	Good	Fair	Poor	Not Applicable
Integrity
Work Habits/ Organization
Adaptability/ Flexibility
Attitude
Leadership Abilities
Ability to work in groups/Teamwork
Responsibility
Coachable
Maturity
Perseverance/Dedication

2. What is the student’s attitude like? How do they get along with other students and adults? Select all that apply

Always friendly and respectful to everyoneGets along well with most peersCommunicates well with adultsSometimes has difficulty getting along with othersOften needs redirection or support in group setting.Doesn't get along well others
3. Do you know of any family or personal issues that affect the student’s school or sports life?*

Yes (please explain below)No — not that I’m aware of
If yes, please explain:
4. How would you describe the student’s parents or guardians in regards to their child? Select all that apply

Very supportive and Involved in their child’s education and activitiesCreates a stable and nurturing home environmentStrong positive relationship with their childSeem caring but are busy or not very involvedShows little interest in the child’s activities or progressMay have a strained or difficult relationship with the studentI don’t know the parents/guardians well
5. Ability to control emotions*

Well-balanced, good controlAverage ability to control emotionsFrequently irritated, impatient or depressedPoor
6. Are you aware of any personal or behavioral concerns we should know about? (Please explain)*
7. Please share with us any additional qualities, strengths, weaknesses or experiences you think we should be aware of as we evaluate the applicant’s candidacy for Cooper InternationalAcademy.*
I declare that to the best of my knowledge the information I have given in this reference is correct and complete*

I Agree
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Should be Empty:

1. Applicant Evaluation