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DLSZ BRafeNHS Recommendation Form AY 2023 2024

This document is a recommendation form for a student applying to Br. Rafael Donato FSC Night High School. It requests information from the student's current guidance counselor including ratings of the student's personal attributes and academic performance, a list of any psychological tests taken, extracurricular activities, disciplinary issues, and an overall recommendation. The recommender is asked to provide their assessment, signature, and contact information and return the form directly to the school via email.

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Krskie
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145 views2 pages

DLSZ BRafeNHS Recommendation Form AY 2023 2024

This document is a recommendation form for a student applying to Br. Rafael Donato FSC Night High School. It requests information from the student's current guidance counselor including ratings of the student's personal attributes and academic performance, a list of any psychological tests taken, extracurricular activities, disciplinary issues, and an overall recommendation. The recommender is asked to provide their assessment, signature, and contact information and return the form directly to the school via email.

Uploaded by

Krskie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Br.

Rafael Donato FSC Night High School (BRafeNHS) Recommendation Form

Last Name First Name Middle Name

Level applying for: Academic Year:

To the Parent of the Student-Applicant: This form should be given to your child’s current guidance counselor /
class adviser who knows your child well enough to answer the following questions and fill out the necessary
information.

To the Person Recommending: The student above is applying for admission to DLSZ – BRafeNHS. Please
accomplish this form and email it directly to [email protected] using the format below for the email
subject line. Thank you for your assistance.
BRafeNHS Recommendation Form / Last Name, First Name / Level Applying For

I. On a scale of 1-5, how would you rate the applicant in terms of the following? Please check the
corresponding column.
Outstanding Very Good Good Fair Poor No chance
Personal Attributes 5 4 3 2 1 to observe
1. Mental Ability
2. Social Skills
3. Leadership Skills
4. English Communication Skills
a. Oral

b. Written
5. Study Habits
6. Conduct / Character
7. Concern for Others
8. Social and Emotional Adaptability

II. Has the applicant taken any psychological tests? Please list them down below.
Name of Test Date Taken Result Interpretation

III. Please check the box corresponding to the rank of the applicant in terms of his / her academic
performance.
( ) Top 10% ( ) Top 25% ( ) Middle 50% ( ) Lower 25%
Final Average in the Grade level last attended (If final grades are not yet available, please submit the grades
as of the previous quarter / term.)
English: Mathematics: Science:

General Average: Approximate size of class:

Date of Graduation from Elementary: / /


mm dd yy
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IV. Check the activities in which the student participated in Elementary / High School:
Athletic / Sports Camera Club
Orchestra School paper
Chorale Dance Club
Student Organization Youth for Christ
Performing Arts Math Club
Scouting Others:
Special skills / talent: _
V. Has the student ever been suspended or given any disciplinary sanction by the school?
If so, give the offense, disciplinary action, and date/s of imposition below.

VI. Has the student received failing grades in school?


If so, indicate the subject and level below.

VII. If the applicant has been placed on probation during his / her stay in your school, please check the
appropriate box:
( ) Academic ( ) Disciplinary
Absences Forgery
Tardiness Dishonesty
Truancy Smoking
Cheating Disrespect
Stealing Others: _
VIII. Comments:

IX. Overall Recommendation:


I highly recommend the student for admission.
I recommend the student for admission.
I recommend the student for admission with reservation because _
.
I do not recommend the student for admission because
.

Signature over Printed Name Date Accomplished

Designation E-mail Address Contact Number

Name of School

School Address
DATA PRIVACY CLAUSE
All data included in this Recommendation Form shall be treated as confidential, processed in accordance with R.A. No.
10173 (Data Privacy Act of 2012) and used only in relation to the application of the student-applicant for admission to
De La Salle Santiago Zobel School.
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