Letter of Recommendation

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Personal Reference Letter

Applicant's Name_________________________________________ Current Grade_______________

Check one q 7th Grade q 8th Grade

In relation to the above applicant, please check the appropriate column for each item.

	Outstanding	Excellent	Good	Fair	Poor
Community Involvement
Intellectual capacity	______	______	______	______	______
Achievement	______	______	______	______	______
Potential	______	______	______	______	______
Attitude	______	______	______	______	______
Participation	______	______	______	______	______
Preparation	______	______	______	______	______

Character & Personality
Initiative and drive	______	______	______	______	______
Peer interaction	______	______	______	______	______
Maturity in relation to other	______	______	______	______	______
Concern for others	______	______	______	______	______
Leadership	______	______	______	______	______
Response to criticism and evaluation	______	______	______	______	______

Please answer the following:

How long have you know applicant? ______________

Are you willing to serve as a mentor for applicant? Yes q No q Perhaps q

Additional information I would like to share: ________________________________________________________

__________________________________________________________________________________

Name (please print)_____________________________ Relationship to applicant____________________

Address_______________________________________________ Phone ( )________________________

Signature______________________________________________ Date __________________________

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