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NTERNATIONAL
PPLICANT
ECOMMENDATION
ORM
RINCIPAL
EAD
OUNSELOR
To the Applicant:
Please type or print your name in the space below and then give this form to your Principal, Head or Counselor
_______________________________________________________________________________
Name of Student
It is my desire that this letter be written in confidence and therefore I waive all rights of access to this
letter.
_______________________________________________________________________________________
Student Signature
Date
To the Principal/Head/Counselor:
This form is a part of the Thetford Academy application. This recommendation will remain confidential and will not become a part of
the student’s permanent record. Your evaluation and comments, to be solely used by the Thetford Academy Admissions Committee,
will be valuable in our assessment of this student’s potential. Please complete this form and send it directly to the Thetford Academy
Admissions Committee. Feel free to use additional sheets if necessary. Should you have any questions, please do not hesitate to
contact us. Thank you for your cooperation and candid reflections.
________________________________________________________________________________________________________________
Principal/Head/Counselor Name
Email Address
________________________________________________________________________________________________________________
Signature
Date
________________________________________________________________________________________________________________
School
Title
________________________________________________________________________________________________________________
School Address
City
State/Province
Postal Code
How well do you know the student academically?___________________________________________________________________
As a person?____________________________________________________________________________________________________
Number of students in school:____________ Grades served:___________ Number in applicant’s grade:___________________
Please explain your school’s grading system. What is a passing mark?___________ Honors mark?_________________________
What percentage of your students receive which grades?_____________________________________________________________
Does your school rank?_________ If yes, this candidate ranks __________ out of __________ students.
Are students placed in sections according to ability?
Yes
No
If yes, please tell us which level the applicant is placed for each subject
Is the student in good academic standing? If no, please explain on a separate piece of paper
Yes
No
Has the student ever been dismissed, suspended, placed on probation, or received other disciplinary action?
Yes
No
Has he/she withdrawn from school voluntarily for an extended period of time for reasons other than health?
Yes
No
If the answer to either of the questions above is yes, please provide a full explanation on a separate piece of paper.