Special Interest/ Personal Recommendation Form Student Name: _______________________________________Grade applying to:________ Signature of applicant:____________________________________Date:_______________ Name of parent or guardian (please print)_______________________________________ Signature of parent or guardian________________________________Date:___________ SCALE
One of the top few I’ve encountered
Excellent (Top 10%)
Good (Above Average)
Average
Below average
No basis for judgment
Potential in special interest area Achievement in special interest area Talent Creativity Effort/Determination Work Ethic Concern for Others Honesty/Integrity Self-esteem Maturity Leadership Teamwork Respect Accorded by Peers
In what context and for how long have you known the applicant? What do you feel is this individual’s greatest strength?
Please comment on the applicant’s performance in and commitment to extracurricular, community or work involvements. Add any additional information that highlights attributes of this candidate.
continued on back
Athletics Positions played:
If possible, provide event-specific times, speeds or other forms of measurements that reflect the candidate’s proficiency.
Please list any award or recognition, including participation on all-star teams.
How would you rate the candidate’s ability in comparison to other members of the team and/or students you have coached in your career?
Music & Performing/Visual Arts Describe the candidate’s level of talent or ability to perform:
If the candidate is enrolled in a specific school of instruction such as the Suzuki Method or the Royal College of Music, please provide the relevant information regarding level and rating.
Please identify the candidate’s position or role in your organization.
What is the candidate’s current repertoire or medium?
At what level do you expect the candidate to participate in an advanced high school arts program?
Signature____________________________________________ Date___________________ Relationship to Applicant_______________________________ Email___________________
Brookwood School~Secondary School Guidance Office~One Brookwood Road~Manchester, MA 01944~978.526.4500