Fillable Schoolrecommendation

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Schoolrecommendation

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The Schoolrecommendation form is 4 pages long and contains:

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  • 4 check-boxes
  • 122 other fields

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File type: PDF

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AGS 2020 | School Recommendation Form - Page 1 of 4
SCHOOL RECOMMENDATION FORM
Student’s Name:
(Last) (First) (Middle)
High School:
1. Formal Test Data. Give names of tests, dates administered, and appropriate standard score and percentile
scores. Please provide as much data as possible. Include sub-test scores for areas of application. Test data
should not be more than two years old and should be verified.
COMPOSITE SUB-SCORE
TEST NAME DATE
Standard
Score
Natl.
%ile
Standard
Score
National
%ile
Mental Ability: Group
Mental Ability:
Individual
SAT N/A
Verbal
Math
Writing
PSAT/NMSQT N/A
Verbal
Math
Writing
ACT test scores and
sub-scores
Math
Science
STEM
English
Reading
Writing
ELA
Creativity: N/A
Plan Other
Achievement Group:
(please identify)
• Plan
• Other
academic test
• _
_______________
Reading
Math
Soc. Sci.
Nat. Sci.
Lang. Arts
Other
• _
_______________
AGS 2020 | School Recommendation Form - Page 2 of 4
2. Student Evaluation. (To be completed by a faculty member, counselor, and/or administrator. Solicit input
from others familiar with specific aspects of the student’s abilities and interests, if necessary.)
Please note: A student who is not successful in a regular school environment is unlikely to be successful
at AGS. Submit nominations only if students are willing and able to attend and participate fully in the
entire school.
Please check the appropriate box, using this scale: 1 indicates a low demonstrated ability; 5 a high
demonstrated ability.
1 (Low ability) 2 3 4 5 (High ability)
Nominee has the ability and desire to cope successfully with advanced concepts, materials, and activities.
Nominee has a positive attitude about exploring new and different concepts and areas of study, including
those in which he or she may not be proficient.
Nominee shows maturity and consideration for others.
Nominee has demonstrated the ability to meet or exceed expectations of behavior.
Nominee can participate fully in a demanding schedule of activities and classes.
Nominee can use self-directed time wisely.
Nominee is likely to participate fully in interdisciplinary experiences, including student-created
presentations.
Nominee is likely to participate actively in and complete the entire four-week program.
Name of person completing this form:
Relationship to student:
AGS 2020 | School Recommendation Form - Page 3 of 4
3. Additional Information: (To be completed by a faculty member, counselor, and/or administrator. Solicit
input from others familiar with specific aspects of the student’s abilities and interests, if necessary.)
In order for the selection committee to be able to make a more informed decision and since students are
often hard to categorize, this section is for information which may not have been presented in other parts
of the application. Completion of this section may require the help of individuals who have extensive
knowledge of the student, his or her talents, ambitions, curricular or social needs, future plans, family
situation, other needs, etc. Other people could be contacted in order to provide a summary of relevant
information about the student. Include any unusual circumstances in this nominee’s life that create a
particular need for consideration. Limit remarks to available space.
Name of person completing this form:
Relationship to student:
AGS 2020 | School Recommendation Form - Page 4 of 4
4. Attest: We have discussed pertinent information in this application with this student and agree that he/she
is interested in participating in the Arkansas Governor’s School. To the best of our knowledge the student
completed the student application independently.
School District:
Signature:
Superintendent Headmaster
Principal Parent (if homeschooled)
School personnel to contact with questions about this student’s application:
Name:
Position: Phone Number:
School personnel who viewed student’s recorded audition: Each audition must be previewed by a school
official to verify clarity and appropriateness of material.
Name:
Position:
Be sure to upload a readable copy of this student’s transcript to the online application site. The transcript
must show fifth semester grades and sixth semester courses.
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Schoolrecommendation

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Completed 19 February 2020

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