TRANSFEREE RECOMMENDATION FORM

SACSO-GU Form 17 (Rev. May 2014)

To the Applicant: Please accomplish only Part A of this form. Part B should be accomplished by your
Guidance Counselor or College Dean from your previous school. This form should be returned to us in a
sealed envelope with the recommender’s signature across the flap. Any recommendation form submitted
in an unsealed and unsigned envelope is not valid and will not be accepted.

Part A: Applicant’s General Information

Name of Applicant:

Degree Program for which you are applying:

Last School Attended / Location: Year Level:

Last Program Enrolled: Term & Year of Last Enrollment:

Reason/s for Transferring:

PART B: Recommendation from the Guidance Counselor or College Dean

1. Please provide us with your assessment of the applicant based on the following areas of concern.

Above Below
Areas of Concern Excellent Average Comments/Remarks
Average Average
1. Personal Character
2. Leadership Ability
3. Emotional Maturity
4. Academic Potential
5. Motivation to Succeed

2. Please describe the applicant’s strengths and areas for improvement as a student.
_________________________________________________________________________________
_________________________________________________________________________________

3. Please provide other pertinent information which will help us in assessing the applicant for admission.
_________________________________________________________________________________
_________________________________________________________________________________

4. Over-all Recommendation:
Strongly Recommended Recommended w/ reservation
Recommended Not Recommended

Name of Recommender: _________________________________________________ Position: __________________________

Contact Details: ______________________________________________ Signature & Date: _____________________________