Teacher Recommendation Form
Please ensure that all parts of the recommendation are completed and signed.
This form must be completed using blue or black ink.
The student listed below is applying to join the Upward Bound Program at Somerset Community College. We seek recommenda-
tions from one teacher and one guidance counselor at the school the student attends to ensure that we are admitting the best
students to our program.
SCCUB is operated under grants from the US Department of Education and our ultimate goal is to prepare students to enter
and complete post-secondary education. Everything we do is at no cost to the student’s family. We offer many services including
school visits at target high schools, monthly visits to Somerset Community College, cultural trips and a six-week summer pro-
gram at SCC during the months of June and July. The questions on this recommendation will help us assess the students willing-
ness and ability to attend all services offered as well as to learn more about their academic ability. We appreciate your honest
and candid answers to all questions, and all information on this form will be held in condence.
Please return this recommendation to the counseling ofce in a sealed envelope and the guidance counselor will add it to the
student’s application. If you have any questions, please contact us at 270-858-6508 or e-mail
Student Name_______________________________________School________________________________
Teacher Name_____________________________Subject in which you taught student____________________
Would you recommend admitting this student to Upward Bound? Yes No
Explanation of your recommendation:___________________________________________________________
Please rate the student on each of the following: (Circle One)
Academic Performance Excellent Good Fair Poor
Motivation Excellent Good Fair Poor
Maturity Excellent Good Fair Poor
Dependability & Reliability Excellent Good Fair Poor
Problem Solving Skills Excellent Good Fair Poor
Attendance Excellent Good Fair Poor
Ability to attend overnight or extended trips Excellent Good Fair Poor
Is this student interested in attaining a four-year college/university degree? Yes No Unsure
Do you feel this student has the ability/potential to do college level work? Yes No Unsure
Do you feel this student would attend? School Visits Yes No Unsure
Saturday Academies Yes No Unsure
Summer Focus Yes No Unsure
What are some challenges this student faces in preparing for, getting admitted to and succeeding in education
after high school?_________________________________________________________________________
Additional Comments:_______________________________________________________________________
Teacher Signature_____________________________________________Date_______________________
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