Recommendation Form - Lane College Office Of Admissions

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LANE COLLEGE
OFFICE OF ADMISSIONS
RECOMMENDATION FORMS
Name _________________________________________ SSN# _________________________
Applicant: Two (2) recommendation forms are required to complete your application for admission. One is to be
completed by your high school counselor or principal. The other recommendation form is to be completed by a high
school teacher. Please authorize the release of this information by affixing your signature below.
_______________________________________
Student’s Signature
Evaluator: Please give your unbiased evaluation of the above-named candidate. This information will assist the
Admissions Committee in making a fair and objective decision regarding the candidate’s application for admission
to the College.
1.
How long have you known the applicant? __________(yrs.) What capacity? ________________
2.
Is this student academically prepared for the rigor of a four-year college curriculum?
Yes _________
Unsure _____
No _____
Cannot evaluate ________
3.
How would you describe this student’s maturity?
Very mature ____
Average Maturity _____ Immature _____ Cannot evaluate ________
4.
How would you describe this student’s personality?
Negative _____
Pleasant _____
Very Warm ____ Cannot evaluate________
5.
How would you judge this student’s willingness to get along with his (her) peers?
Excellent _____
Average ______
Poor _____
Cannot evaluate ________
6.
How would you rate this student’s influence and leadership skills?
Excellent _____
Average ______
Poor _____
Cannot evaluate ________
7.
How would you describe the overall character of the applicant?
Excellent _____
Average ______
Poor _____
Cannot evaluate ________
8.
Comments: Space is provided for additional comments. (Optional)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Evaluator’s Name _________________________________
Title ___________________________
Evaluator’s Signature ______________________________
Date ___________________________
This information is CONFIDENTIAL. Please do not return this Recommendation Form to the applicant. Forward
by mail to Lane College, Office of Admissions, 545 Lane Avenue, Jackson, TN 38301 or via FAX to (731) 426-7559.

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