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Assumption Recommendation Form

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ASSUMPTION-ILOILO CLASS ADVISER’S/COUNSELOR’S

HIGH SCHOOL DEPARTMENT RECOMMENDATION

NAME OF APPLICANT ______________________________________________________________


LAST FIRST MIDDLE

NAME OF SCHOOL LAST ATTENDED __________________________________________________

TO THE CLASS ADVISER / COUNSELOR: The student whose name appears above is studying or has studied in
your school and is applying for admissions to Assumption-Iloilo. Please provide us specific information regarding the
student that would be most helpful in her qualification for admission by filling out the questionnaire below.
Please return this recommendation to the applicant in a sealed envelope with your signature across the
flap.

1. How long have you known the student? _________________________________________

2. Has the student ever been subjected to disciplinary action? ___________________________

3. Please comment on the following: ( Put a check mark on the appropriate box. )

CHARACTER AND PERSONALITY

a. Attitude to Study / Work

Does not like to work; seldom works even under pressure; negative attitude
Indifferent to work, not concerned when making mistakes, does not study enough
Applies herself well but needs occasional prodding, studies satisfactorily
Generally tries her best to improve; earnest in her application to work; displays interest in work and play
Conscientious, industrious; displays enthusiasm towards work and company; does maximum work beyond
expectation

b. Emotional Stability / Maturity

Loses control of emotions very easily, oversensitive, often depressed, often apathetic
Sometimes excitable, a bit sensitive, a bit apathetic, at times feels troubled
Usually well balanced, has average control of emotions
Well balanced, has control of emotions even in times of emergency
Exceptionally well balanced and stable

c. Motivation

No basis for judgment


 Below average
 Average
 Above average
 Excellent
d. Leadership

No basis for judgment


 Would do better as a follower
 Generally reliable, can be developed to be a leader but has not expressed leadership yet
 Reliable, can be depended upon as a good leader at times
 Consistently reliable and can often be depended on as a good leader

e. Concern for Others

 No basis for judgment


 At times makes an effort to show concern for others
 Generally has care and concern for others
 Usually cares for others and reaches out to them
 Reaches out to others without thinking of receiving something in return

f. Reaction to criticism/ disappointment

 No basis for judgment


 Below average or negative
 Average, takes it politely
 Good, willing to do something about it
 Very good, takes it constructively, does something about it

POTENTIAL FOR SCHOLASTIC ABILITY

 Below average
 Average
 Good
 Excellent

OVERALL RATING

 Strongly recommended
 Recommended
 Recommended with reservation
 Not recommended

REMARKS

_____________________________________________________________________________

_____________________________________________________________________________

NAME ______________________________________ SIGNATURE _______________________

POSITION __________________________________ DATE ____________________________

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