Student Recommendation Information Form

Student Recommendation
Information Form
Laurel Springs
School
Personal Information
302 W. El Paseo Rd.
Ojai, CA 93023
1615 West Chester Pike
West Chester, PA 19382
800.377.5890
805.646.0186 fax
www.LaurelSprings.com
School Code: 052256
College Counseling
Department
[email protected]
Credentials
• Accredited by Western
Association of Schools and
Colleges (WASC)
• Accredited by AdvancED
• Accredited by Southern
Association of Colleges and
Schools (SACS)
• Member of the National
Association of Independent
Schools (NAIS)
• Member of the International
Association for Online Learning
(iNacol)
• Courses meet University of
California (UC) a-g requirements
• Learning Style Model School
• National Honor Society (NHS)
& National Junior Honor Society
(NJHS)
• Courses approved by the National
Collegiate Athletic Association
(NCAA)
Student Name
Date
Email Address
Have you graduated from Laurel Springs School?
Yes
No
If yes, in what year did you graduate?
If no, in what month and year are you planning to graduate?
Home Phone Number
Cell Phone Number
In a unique environment such as Laurel Springs, this questionnaire is designed to
assist your school counselor get to know you beyond your academic records. Your
school counselor may not be aware of some aspects of your personality, experiences,
and activities. Therefore, your responses to these questions should include
information beyond what appears on your transcripts or the activity participation you
listed on your applications. Tell us more about yourself so that we can create a full
and interesting picture of you in the letter of recommendation we write. Take the time
to complete this form thoroughly and thoughtfully. Remember to include any pertinent
information you would want us to include in your letter of recommendation.
Personal Analysis
1. List four adjectives that describe you best:________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
2. My greatest personal strengths (areas I have developed and feel good about) are:
____________________________________________________________________
____________________________________________________________________
11/2013
page 1
Student Recommendation
Information Form
____________________________________________________________________________________________
3. What has been your greatest challenge, and how did you overcome it? _________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
4. Is there anything unique or unusual about your family that has had a significant impact on you? _____________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
5. Have a close friend or family member describe you in two to three sentences. ___________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________
Academics, Achievements and Activities
6. Are there any circumstances in your life that might have had a negative impact on your academic performance?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
7. Describe the most meaningful or enjoyable course you have taken so far and how it has impacted you: ________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
8. Please list and describe any significant awards, honors or certificates you have received (Include dates if
appropriate): _________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
page 2
Student Recommendation
Information Form
9. Please list any clubs or organizations to which you belong or positions you have been elected to: _____________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
10. Describe your most meaningful community service/volunteering experience: ____________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
11. What are your hobbies or interests outside of school? _____________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
12. What makes you unique or different from your peers? ______________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
College Interest
13. Where do you see yourself in 10 years? What will you be doing for your career and what have you accomplished?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
14. What are you planning to study in college? If you are undecided, please indicate areas of study that interest you:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
15. How have you changed in high school and what are you looking forward to most in college? ________________
____________________________________________________________________________________________
____________________________________________________________________________________________
page 3
Student Recommendation
Information Form
School Information
Please list all of the schools you are applying to, application due dates, and check off the application materials
required by the college. You can print out or copy this page if you are applying to more than six colleges.
If you will be applying via the online Common App, please make sure to put your assigned Laurel Spring counselor’s
information in the School Section of the application so that we can access and upload all of the required documents.
LOR = Letter or Recommendation OT = Official Transcript
School Name & Address
Postmarked Deadline
e.g., Brown University - deadline (exact date of deadline)
Box 1876, Providence, RI 02912
LOR
X
School Paper ...Common
Form or...
APP Online
X
OT
X
page 4
Student Recommendation
Information Form
Please list any Collegeboard or ACT test scores and the dates that you took each test.
Test
Composite
Test Date
Critical Reading
Math
Writing
Test Date
Test Name
Score
Test Name
Score
Test Name
Score
Test Name
Score
ACT
ACT
ACT
Test
SAT
SAT
SAT
Test
SAT Subject
SAT Subject
AP
AP
Please Note
1. As you complete your college research, you should have one school from each of the following categories:
a. Reach School – which means it would be a stretch for you to be admitted (based on their minimum GPA
and SAT/ACT requirements), but you would like to apply because it is a dream school or it offers your major
b. Good Fit or Realistic School – which means based on their minimum GPA and SAT/ACT requirements you
are a solid match and this school offers the area of interest or major you want to pursue
c. Safety School – which means you are well above their minimum GPA and standardized testing
requirements. This school may not be on top of your list, but it will be an option that you have in case of the
choices don’t work out. This school also offers the area of interest or major you want to pursue
2. All requests for recommendations or paperwork from Laurel Springs School and its instructors must be
received 45 days prior to their due date. Requests submitted after the 45 day mark will be completed based
on the order in which they were received. For late submissions, we will do our best to complete all required
documentation prior to the college deadline.
3. In order to consider your request received, you must have completed the following:
• original forms and pre-addressed stamped envelopes for each institution (submitting paper applications)
• completed and signed College Application and Recommendation Policy Form
• completed Student Information Form
Thank you for completing the Student Recommendation Information Form!
If you have any questions please feel free to contact us at [email protected]
page 5