DILIMAN PREPARATORY SCHOOL
Commonwealth Avenue, Diliman, Quezon City
931.0731/931.1092
RECOMMENDATION FORM
Name of Applicant (Please Print)
_______________________________________________________________________ Sex: ______________
Last First M.I.
School: ________________________________________________________________ Tel. No: ___________
School Address: ________________________________________________________
Grade / Year Level Applied for: ____________________________________________
TO THE CLASS ADVISER / GUIDANCE COUNSELOR:
The above mentioned student is seeking admission in our school. We will appreciate your assistance in
providing us some relevant information about the applicant. All information will be kept confidential.
After completing the form kindly seal it in an envelope, sign the flap and return to us through the applicant.
A. For how long and in what capacity have you known the applicant? _______________________________
B. Please check your assessment of the applicant in terms of the following criteria:
Outstanding Superior Average Below Needs further
Average assistance
1. Academic Performance
2. Communication Skills
a. Oral
b. Written
3. Diligence (Study Habits)
4. Leadership Abilities
5. Social Relationships (with
teachers, school personnel and
peers)
6. Emotional Maturity
7. Sense of Responsibility
8. Character & Attitude
C. Has the student been referred for any grave misconduct or misbehaviour? ( ) No
( ) Yes, namely _____________ Fighting with other students
_____________ Disobedience / Disrespect to authorities in school
_____________ Disregard for school rules & regulations
_____________ Others (please specify): ________________
D. Please indicate any physical handicap (s) / special need (s), which should be taken into consideration in
the admission of the applicant: ________________________________________________________________
E. Additional Comments / Remarks: ____________________________________________________________
Recommendation: (please check) Form accomplished by:
__________ Strongly Recommended
__________ Recommend ________________________________
__________ Recommended with reservation (Signature over Printed Name)
__________ Not recommended
Designation: ______________________
Tel. No: __________________________
Date: ___________________________
Principal
School Seal
(Not valid without seal) ________________________________
(Signature over Printed Name)