Shs Form C Recommendation Form For Senior High - University Of St. La Salle printable pdf download

SHS Form C

RECOMMENDATION FORM

For Senior High

Admissions and Scholarships Administration Office

La Salle Avenue, Bacolod City

Tel number: 434-6100 loc 124 / 433-7019

Email: asao@usls.edu.ph

Website:

Applicant’s Name: ______________________________________________________

Sex: _________

)

(last name)

(first name)

(middle initial

School: _______________________________________________________________________________

School Address: ________________________________________________________________________

To the Guidance Counselor / Homeroom/Class Adviser: The person above is an applicant to the Liceo-

De La Salle - Senior High. The committee on Admissions would appreciate your opinion on the points

stated below. Please make your judgment carefully and fill out the form completely as it will surely be

used in the evaluation of the student.

Please rate the student according to the following areas by putting a check on the corresponding box.

Exceptional

Very Good

Good

Fair

Poor

Intellectual Ability

Communication Skills

Motivation to pursue college studies

Emotional Maturity

Resourcefulness/Initiative

Adaptability to New Situation

Leadership Qualities

Study Habit / Work Attitude

We need your assistance in answering the following questions to the best of your knowledge.

1. Does the applicant have any physical condition that may affect his/her academic performance in the

university? Please check.

____ No

_____ Yes, please specify __________________________________________

2. Do you have any behavioral observations of the applicant that may affect his/her performance in

the university? Please check

____ No

_____ Yes, please specify __________________________________________

3. Has the applicant been guilty of any serious disciplinary offense? (e.g. cheating, stealing, drug abuse)

____ No

_____ Yes, please specify __________________________________________

4. Do you have any comments which may help us in evaluating his/her application in the university?

__________________________________________________________________________________

______________________________________________________________________

Printed Name: ___________________________________________ Signature: ___________________

Position: ________________________________________________

School: _________________________________________________

Date: ___________________________________________________

Please return this to the applicant in an envelope, sealed and signed on the flap. Thank you

for your assistance.

Shs Form C Recommendation Form For Senior High - University Of St. La Salle

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