High School Certification
Applicant's Name
First Name
Last Name
Copy of student's transcripts
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of
Secondary School Record
Type of School:
Public
Independent
Parochial
Other
Name of School:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant's Entrance Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant's Graduation Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Other Secondary Schools Attended: (Transferred grades should be shown on transcript.)
Students Rank:
Rank is:
Exact
Approximate
Rank is in class of:
Students cumulative grade point average (GPA):
Cumulative GPA is based out of:
Number of semesters used to determine rank and GPA:
Date GPA was determined:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SAT Scores
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature of Principal:
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High School Recommendation
School Activities that student participated in:
Scholastic honors attained:
Describe any scholastic or disciplinary problems:
Do you believe that student has been working up to his/her level of ability
Yes
No
Has students academic work been affected by outside work, illness or other factors? If so, explain:
Characterization of Applicant
Comment on strengths and weaknesses of applicant and the significance of student’s activities and characteristics. Give specific examples where possible to support your general appraisal of the student.
Officials Name
First Name
Last Name
Title
Signature
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Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Submit High School Recommendation
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