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Application '11: Program/School Information Counselor/Advisor/Dean Recommendation Directions

This document contains an application for a pre-college summer program. It requests information about the student such as name, present grade, program and campus choice, as well as contact information for their school and counselor. It asks if the student has been expelled or has any special needs. It also contains sections for a counselor recommendation and signature. The recommendation form rates the student in areas such as academic achievement, leadership, and potential to succeed in college.

Uploaded by

Emma Kang
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42 views1 page

Application '11: Program/School Information Counselor/Advisor/Dean Recommendation Directions

This document contains an application for a pre-college summer program. It requests information about the student such as name, present grade, program and campus choice, as well as contact information for their school and counselor. It asks if the student has been expelled or has any special needs. It also contains sections for a counselor recommendation and signature. The recommendation form rates the student in areas such as academic achievement, leadership, and potential to succeed in college.

Uploaded by

Emma Kang
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PART 2 Program/School Information

Student Name Present Grade


Program Choice Campus Choice

School Name

School Address


City State Zip / Postal Code

Country
Name of Counselor / College Advisor
E-Mail of Counselor / College Advisor
( )
School Phone
Has the applicant been expelled or suspended from any school? Yes No
If yes, please explain in detail.
Doos tho oppllcont hovo ony spoclol soclol, porsonol, modlcol, psychologlcol,
dietary or educational needs? Yes No If yes, details must be
stated below, with attached supporting information or documentation.
How dld you hoor obout Summor Dlscovory? (Plooso bo spoclc)
Whot dld you do lost summor? (Plooso bo spoclc)
NOTE: Please send a Summer Discovery catalog to the following friend:
Name

Address

City State Zip / Postal Code
For Ofce Use Only Recd_________________ Status


Amt

Entered

Sent

PART 3 Counselor/Advisor/Dean Recommendation


Directions
1. Please complete this form immediately.
2. Return form with a student transcript (high school students only) to Summer
Discovery to the address below.
3. This evaluation is used in the admissions process for Summer Discovery and
is destroyed after completion of the process.
This student, with parental endorsement and authorization, is applying for
admission to a pre-college study/ enrichment program for high school or middle
school students. Students have a choice of curricula, including the possibility of
receiving college credit. It would be helpful to discuss the curriculum choice with
the applicant.
Evaluation
Excellent
Above
Average Average
Below
Average No Basis
Academic achievement
Academic motivation
Academic self-discipline
Academic growth potential
Leadership
Self-condence
Concern for others
Social / emotional maturity
Potential to succeed in a
4-year college (HS students only)
English prociency
(international students only)*
* TOEFL or IELTS scores required for international high school students who wish to
enroll in college credit courses
I recommend this student
Enthusiastically Strongly Moderately With Reservation (Please Explain)

I have known the student for _______years _______months

Evaluators Name/Title
E-Mail



Signature/ Date

School Name
( )
Phone Number

Additional Comments







1326 Old Northern Blvd.
Roslyn, New York 11576
Phone: 516.621.3939 t Fax: 516.625.3438
Email: [email protected]
summerdiscovery.com
application 11
pre-college
enrichment
on-campus
community service
college admissions
and university visits
middle school
enrichment

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