Transfer recommendaTion form To The college official

Transfer Recommendation Form
This form must accompany an official copy of your transcript and must be completed by a college official who has access to your
academic record and your disciplinary record. Please follow these steps to ensure the form is completed accurately and in its entirety. Step
1: Complete all relevant questions below, including the signature statement. Step 2: Give this form to a dean or college official who has access
to your academic record and ask that official to complete the academic portion of this form. Step 3: If the official completing the academic
portion does not also have access to your disciplinary record, please ask the individual to securely forward the form to a second official who can
answer those questions before duplicating this form and mailing it to Alma College along with copies of your official transcript(s). If you are not
currently enrolled in a college or university, please submit this form to a dean or college official at the last institution you attended.
Student Name____________________________ _ ____________________________ ____________________________ ________
(First)
(Middle)
(Last)
(Jr., III, etc.)
Home Address __________________________________________________________ P.O. Box ______________________________
City___________________________________ County________________________State_________________Zip______________
Phone Number ( ______ )_______________________ Date of Birth (month/day/year)______________________________________
College/university you now attend___________________________________________ CEEB/ACT Code_______________________
How many college credits have you earned prior to this academic year?_________ How many will you earn this academic year?_________
IMPORTANT PRIVACY NOTE: By signing this form I authorize all schools that I have attended to release all requested records covered under the Federal Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by Alma College. I further
authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact officials at my current and former schools should they have questions about the school forms submitted on my behalf.
I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and
supporting documents submitted by me and on my behalf, unless at least one of the following is true:
1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
2. I waive my right to access below, regardless of the institution to which it is sent:
❑ Yes, I do waive my right to access and I understand I will never see this form or any other recommendations submitted by me or
on my behalf.
❑ No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting
documents submitted by me or on my behalf to the institution at which I’m enrolling, if that institution saves them after I
matriculate.
Signature______________________________________________________________________ Date ______________________
To The College Official
If you have access to the applicant’s academic record and disciplinary record, please complete this form in its entirety. Attach the applicant’s
official transcript (check copies for readability). Use both pages to complete your evaluation for this student and be sure to sign below. If you
have access to the applicant’s academic record only, please complete the relevant portion of this form, then forward to the appropriate official
for completion of the disciplinary questions, asking that official to mail the form to Alma College after doing so.
College Official’s Name (Mr./Mrs.Ms./Dr.)_____________________________________________________________________________
Signature_________________________________________________________________________ Date ______________________
Title_____________________________________________________ College or University__________________________________
College or University Address ____________________________________________________________________________________
College Official’s Telephone (______)___________________________ College Official’s Fax (______)___________________________
College or University CEEB/ACT Code_________________________ College Official’s E-mail ________________________________
School Seal
BACKGROUND INFORMATION
Cumulative GPA: _____ on a _____ scale, covers a period from ____/______ to ____/______.
mm/yyyymm/yyyy
This GPA is ❑ weighted ❑ unweighted. The school’s passing mark is____________________ .
Highest GPA in class__________________________ Graduation date___________________
mm/dd/yyyy
Evaluation
If you know this student, pleast indicate for how long and in what context:____________________________________________________
If you know this student, what are the first words that come to your mind to describe this student?__________________________________
Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference
you’ve prepared for this student. We especially welcome a broad-based assessment and encourage you to consider describing or addressing:
•
The applicant’s academic, extracurricular and personal characteristics.
•
Relevant context for the applicant’s performance and involvement, such as particularities of family situation or responsibilities, work
obligations or other circumstances, either positive or negative.
•
Observed problematic behaviors, perhaps separable from academic performance, that Alma College should explore further.
If you are completing only the questions pertaining to the applicant’s disciplinary record, please provide the following information:
College Official’s Name (Mr./Mrs.Ms./Dr.)_____________________________________________________________________________
Signature_________________________________________________________________________ Date ______________________
Title_____________________________________________________ College Official’s E-mail________________________________
College Official’s Telephone (_____)____________________________ College Official’s Fax (_____)____________________________
Is this applicant in good academic standing?
❑ Yes ❑ No
Is this applicant eligible to return to your school?
❑ Yes ❑ No
If you answered no to either or both questions, please attach a separate sheet of paper or use your written recommendation to provide details.
•
Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct
or behavioral misconduct, that resulted in the applicant’s probation, suspension, removal, dismissal or expulsion from your
institution?
❑ Yes ❑ No
•
To your knowledge, has the applicant ever been convicted of a misdemeanor, felony or other crime?
❑ Yes ❑ No
If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the
approximate date of each indicent and explain the circumstances.
❑ Check here if you would prefer to discuss this applicant over the phone with the Admissions Office.
I recommend this student:
❑ No Basis
❑ With Reservation
❑ Fairly Strongly
❑ Strongly
❑ Enthusiastically
please return to:
Alma College Admissions Office
614 W. Superior Street
Alma, Michigan 48801-1599
(989) 463-7139 • Toll-Free: 1-800-321-ALMA • Fax: (989) 463-7057
E-mail: [email protected]
CONFIDENTIALITY
We highly value your comments and ask that you complete this form with the knowledge that it may be retained in the student’s file should
the applicant enroll at Alma College. In accordance with the Family Educational Rights and Privacy Act of 1974, matriculating students do
have access to their permanent files which may include forms such as this one. Alma College does not provide access of admission records
to applicants, those students who are denied, or those who decline an offer of admission. Thank you for your cooperation and thoroughness
in completing this form.