COUNSELOR RECOMMENDATION

(Please sign form at the bottom)

What is the name of the student you are recommending for the Math/Science Program?


What high school does the student attend?


What is your name?



The student is enrolled in: college preparatory curriculum
general curriculum vocational curriculum


Students Current Schedule:


Evaluate the student's interest in academic work:
Excellent Above Average Average Below Average
Poor


Describe the student's regard to authority and peer collaboration skills:


Evaluate the student's potential or desire to continue his/her education beyond high school:
Excellent Above Average Average Below Average
Poor


Please summarize any special circumstances that have affected the students's progress:


Do you recommend this student for the Math/Science Program?
Enthusiastically With Reservation No


Additional Comments:

Counselor:

Contact Phone Number:

E-mail Address:

Date: