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Class Adviser or Guidance Counselors Recommedation Form
Class Adviser or Guidance Counselors Recommedation Form
Last Name
First Name
Middle Name
Below Average
Average
Above Average
Excellent
No Basis
Academic Potential
Emotional Maturity
Leadership Ability
Consistency of
Performance
Sociability
Resiliency
Please share with us other pertinent information which could help us in assessing his/her application (e.g.
level of maturity, social awareness and responsibility etc.) Feel free to use the back part of this form if there is a
need.
_______________________________________
Signature over printed name
_______________________________________
Position
Date
_______________________________________
School (Name, Address, Tel. No.)
______________________________________
Subject Taught
SBCA-FORM-ACAD-RO-ADM-04
Nov 2011 Rev.00