Secondary School Report Form - Belmont University Page 2
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2Belmont University asks for an evaluation of the candidate’s academic motivation and promise, as well as any comments you would like to make
about his/her character and personality. Please address specifically the student’s potential for academic success at Belmont University. Use the
space below or an additional sheet if needed.
Are there any special circumstances in the student’s background or home life that would help us better evaluate the applicant?
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What can you tell us about the student’s personal qualities?
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Has this student been involved in any disciplinary matters at school?
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Please comment about the student’s potential to perform college-level work.
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Please check the chart below to compare the student with his or her secondary school class.
below average
average
good
excellent
outstanding
top few encountered
(above average)
(top 10%)
(top 5%)
in my career
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Academic self-discipline
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Academic achievement
Concern for others
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I I
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I I
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Social maturity
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Intellectual level
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Respect of faculty/peers
Other comments: ________________________________________________________________________________________________
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If you would like to discuss this candidate further, please contact the Admissions staff at (615) 460-6785.
Please return this form to the Office of Admissions, Belmont University, 1900 Belmont Blvd., Nashville, TN 37212, or fax to (615) 460-5434.
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Signature
Date
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Name (type or print)
Position
School
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City
State
Telephone
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Email address
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