Prospective Students: Guidance Counselor Recommendation Form

The following information is to be completed by the Secondary School Counselor or Guidance Counselor. Please use this form to describe the student you chose for admission and scholarship opportunities at Northland College.

Student Information

Name:

E-mail address:

Mailing Address

Street address:

City:

State:

Zip:

Current Year Courses

Please be sure to indicate whether a course is Advanced Placement, honors, or International Baccalaureate.

Term One	Term Two
Term Three	Term Four

What type of academic year does your school use? (check all that apply)

Semesters Trimesters Quarters Block

Academic information

Date of student's high school graduation:

Student's GPA on a 4.0 scale:

ACT

Math Science Reading Composite

Date when the test was taken:

SAT

Math Composite

Date when the test was taken:

Rank of Applicant:

Out of the following class size:

Does more than one student have this rank? yes no

If yes, how many?

Dates covered by rank

From (month/year) To (month/year)

This rank is weighted not weighted

List the numerical value for each grade

A B C D F Other

Institutional details

School Name:

School Address:

Counselor Name:

Conselor Phone:

Counselor E-mail:

Counselor Fax:

CEEB/ACT code:

Evaluation

Evaluated by Counselor Teacher Other

Comparisons

Please compare the applicant to other students in his or her secondary school class who are also college bound.

Academic prepardness:

Academic motivation:

Character & personal qualities:

Creativity:

Extracurricular:

Leadership:

Accomplishments:

Maturity:

Respect for others:

Please write an evaluation of the student with information that you feel would be helpful to the admission committee.

How long have you known the student and in what capacity?

Please list three qualities that describe the student.

Would you recommend this student?

Fully Strongly Fairly With reservation

If different from counselor, specify the name of who is making the recommendation?

Recommender's Name:

Prospective Students: Guidance Counselor Recommendation Form

Term One

Term Two

Term Three

Term Four