Secondary School Report & Transcript Request - Eureka College Page 2

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Compared to other college-bound students whom you have advised, indicate your rating of this student in terms of
Academic Skills and Potential.
COMMENTS
ADAPTABILITY
EMOTIONAL STABILITY
MOTIVATED TO LEARN
DEPENDABILITY
ORAL EXPRESSION
WRITTEN EXPRESSION
JUDGEMENT
INTITIATIVE
INTEGRITY
I have known this student:
1 Year
2 Years
3 Years
4 Years
For this student’s academic success at Eureka College:
I strongly recommend
I recommend
I recommend with reservations
For this student’s character and personal traits::
I strongly recommend
I recommend
I recommend with reservations
Please add written comments below:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Signature ___________________________________________________ Date ___________________________________________
Please print the following:
Name ____________________________________________ Title or Position _____________________________________________
High School _______________________________________ School CEEB Code __________________________________________
High School Address ___________________________________________________________________________________________
STREET
CITY
STATE
ZIP
Phone Number (
) _______________________________
Please attach an official copy of this student’s transcript and testing record to this form and mail to:
Eureka College
Office of Admissions
300 East College Avenue
Eureka, Illinois 61530-1500

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