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CCC-Teacher/Counselor Reference

Download the printer friendly version of this form to complete and give to your teacher for a teacher or counselor recommendation.

INFORMATION FOR COUNSELOR/TEACHER RECOMMENDATION

The counselor recommendation is an important part of your college application for schools that require it. I want to write the best recommendation I can for you. In order to do this I need additional information. It might be advisable to schedule a meeting with me, so that I may go over this form with you.

Name_____________________________________________________

1. What schools are you applying to this fall?
 
2. What are you planning to study at college?

3.  What teachers/coaches/administrators at WHS know you well?

4.  How would you describe your high school experience both academically and personally?

5.  What subjects have you found most enjoyable?  Why?

6.  What do you think are your strong points as a student? Explain your answer by telling about a project, paper or activity that you feel was successful.

7.  What are the first words you would use to describe yourself? Explain your answer.

8.  How would your friends describe you? Why?

9.  Has anything had a major impact on your high school experience? (Examples:  moving, family circumstances, death, or illness)

10.  Name two books (outside of a school assigned book) or films you have enjoyed in the past year. Why?

11. What activities have occupied your summer “vacations”?  Describe your summer travel, volunteer work or summer study.

Extracurricular Activities

(If you have an activities resume, please attach it instead)

In each section, list your participation in order of importance to you.
Activity                                   Grades of Participation             Additional Information
                                                     (Circle All That Apply)
Athletics:
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
Clubs:
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
Music:
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
Theater:
_____________________________            9  10  11  12                          ____________________________
_____________________________            9  10  11  12                          ____________________________
Other:
_____________________________            9  10  11  12                          ____________________________

What volunteer experience have you had?  Explain what volunteering you enjoyed the most and why.

Employment: List the jobs you have held from 10th grade to present:
Place of Employment                 Responsibilities        Average Hours/Week
________________________    _________________    ______________
________________________    _________________    ______________
Is there anything else you think would be helpful for me to know to write recommendation?