GUIDANCE COUNSELOR FORM

C U L T U R A L LY
R E L E V A N T
A C A D E M I C A L LY
M E A N I N G F U L
guidance counselor form
To Be Completed by the Student
Applicant: Please complete this section and give this form to your guidance counselor.
Applicant’s Full Name
Mailing Address
Under the provision of the Family Educational Rights and Privacy Act of 1974, you have the right to review your educational records. The Act
further provides that you may waive your right to see letters written on your behalf for admission.
I waive my right of access to this recommendation written on behalf of my candidacy for admission.
Applicant’s signature
Date
To Be Completed by the Guidance Counselor
The above student is applying for admission to Taylor University’s Summer Honors Program (CRAM). We value your comments and request that you give a full
and candid report so that fair consideration may be given to the applicant. Please be as realistic as you can in comparison with other college-bound students.
If necessary, please solicit input from the student’s classroom teachers.
Note: This student’s application will not be evaluated until we have received your form. Please see deadline dates above.
Student Assessment
1. How well do you know the applicant?
By name/sight
Casually-few personal contacts
Very well-numerous personal contacts
2. What is your opinion regarding the student’s aptitude for further academic study?
Highly enthusiastic
Strong
Moderate
Hesitant
Negative
No Opinion
Hesitant
Negative
No Opinion
3. What is your opinion of the student’s social readiness?
Highly enthusiastic
Strong
Moderate
4. Taylor desires to recruit students who can contribute to community in different and unique ways. Which of the following words best describe this student’s contribution to your school?
Initiator - seeks to develop programs and initiatives to meet the unmet needs of others
Leader - takes on roles in areas of leadership in school activities
Participator - takes an active part in school events, organizations, etc.
Neutral - has little or no impact in school
5. Are there special factors that should be considered in interpreting the student’s transcript?
6. Overall Recommendation
Highly enthusiastic
Strong
Moderate
Hesitant
Negative
Yes
No
If yes, please explain:
No Opinion
7. Would you like someone from Taylor University’s admissions staff to phone you about this student?
Yes
No
Educational Background (we prefer weighted information when available)
1. This applicant’s class rank is: weighted
out of unweighted
If exact rank is not available, please indicate rank to nearest decile (10th) from top
2. This applicant’s current GPA is: weighted
on a 4.0 scale
out of
Do not rank
out of
unweighted on a 4.0 scale
3. What percentage of your last year’s graduating class currently attend four-year colleges?
4. Has this applicant taken honors or advanced placement courses?
5. Is this applicant on a block schedule?
Yes
Yes
No
No
6. If these classes do not appear on their transcript, please list the courses this student is scheduled to take during the senior year.
Courses
HonorsFallSpring
Courses
HonorsFallSpring
Please return this page to Taylor University along with:
• a current official high school transcript (including grades through the first semester of junior year and official test results)
• a high school profile
Name
(Please print)SignatureDate
PositionSchoolPhone
School Address
City
Email Address State
School’s CEEB Number
Zip
Are you an alumnus of Taylor University?
Yes
No
Graduation Year
Are you aware of any Taylor University graduates who are teaching in your school? Please indicate their names and positions.
How familiar are you with Taylor University?
Very familiar
Somewhat familiar
Not at all familiar
If you know other students that you believe would be interested in Taylor, please go to www.taylor.edu/recommend and add them to our mailing list.
Thank you for taking the time to complete this form. Your observations will assist us in our evaluation of the applicant. Please return to:
Office of Admissions
236 West Reade Avenue
Upland, Indiana 46989-1001
800.882.3456 • 765.998.5511
FAX 765.998.4925
www.taylor.edu
[email protected]