AF-I.

02

CONFIDENTIAL

 Lancaster New City, Cavite Philippines

 IMUS CAMPUS (046) 423.58.21 / 0915.359.9937  FAITH CAMPUS 0917.621.3751
 Email address: admissions@[Link]

RECOMMENDATION FORM
(Grade 4 - 12)
To the APPLICANT: This form should be given to your child’s Principal, Guidance Counselor, or current school year’s
Homeroom Adviser. Please follow-up with your present school for this recommendation.
For the SCHOOL: The student whose name appears above is applying for admission to St. Edward School. Please provide
us your objective evaluation of this applicant. Please accomplish the form completely.
After filling out the form, kindly place this in a sealed envelope and return to the parent/guardian of the applicant.
Thank you for your assistance.

NAME OF STUDENT
Last Name First Name Middle Name
SOLIS ARIANNA LEI ALBOLERAS
School Last Attended/Complete Address
UNIDA NEHEMIAH CHRISTIAN ACADEMY
Year Level Applying For

❑ Grade 4 ❑ Grade 5 ❑ Grade 6 ❑ Grade 7 ❑ Grade 8 ❑ Grade 9

✔

❑ Grade 10 ❑ Grade 11 ❑ Grade 12

AGREEMENT:
St. Edward School provides a progressive basic education program geared towards the holistic development of the
child. The acceptance and non-acceptance of the student with special education needs are based on the merit of the
application and the ability of the school to provide services for their condition.
Considering your assessment to the applicant’s character and attitude, the information that was disclosed to this form
will be dealt with confidentiality.
The Admission Officer may or may not contact you for confirmation of aforementioned data.

________________________________
Evaluator’s Signature over Printed Name

Data Privacy Notification and Consent:

I do hereby allow/authorize St. Edward School to use, collect and process all the information contained herein for educational
and other legitimate purposes and shall be processed by authorized personnel in accordance with the data privacy policies of the school.
___________________________________________
LIZETTE A. SOLIS
Parents/Guardian Signature over Printed Name / Date

GENERAL EVALUATION
For each skill, put a checkmark (✓) in the box provided:
Below Above
SKILLS AND POTENTIALS Average
Average Average
Communication skills
(Oral) The applicant can express his/her thoughts and feelings orally.
(Written) The applicant can express his/her thoughts and feelings in writing.
Leadership potential
The applicant has shown ability to lead a group.
The applicant is a good follower.
The applicant can work well individually and with a group.
Self-motivation
The applicant shows initiative and diligence when it comes to school work.
The applicant can work independently when it comes to academic tasks
The applicant shows willingness to join and participate in extra-curricular tasks.
Social and Emotional Maturity
The applicant is assertive in expressing himself/herself and in dealing with
others.
The applicant is not easily frustrated when faced with difficult tasks.
Academic Achievement
The applicant excels in his/her academic tasks.
The applicant can cope with academic demands.
The applicant is competent in dealing with his/her academic tasks.
Recommendation Form 2021 / GCC Not valid without official seal.
 Conduct/ Deportment
The applicant is attentive during long class discussions.
The applicant shows good relations with authority figures.
The applicant is compliant with school rules.

Please check ALL the words that best describe the applicant:
 Anxious  Assertive  Emotional  Persevering
 Helpful  Driven  Disobedient  Indifferent
 Articulate  Aggressive  Easily discouraged  Self-disciplined
 Approachable  Irritable  Humble  Childish
 Pessimistic  Confident  Reckless  Self-centered
 Demanding  Angry  Adventurous  Patient
 Athletic  Cheerful  Optimistic  Influential
 Honest  Shy  Perfectionist  Leader
 Responsible  Artistic  Defiant  Manipulative
 Friendly  Aloof  Caring  Street smart

SCHOOL RECORD
1. Has the applicant ever repeated a grade level? Yes / No If yes, give reason(s)
__________________________________________________________________

2. Was the applicant ever placed on academic and/or disciplinary probation? Yes / No If yes, give reason(s)
__________________________________________________________________

3. Does the applicant have behavioral concern, special needs, or health condition that we need to consider?
__________________________________________________________________

Applicant’s academic ranking in the current level/batch: (please check)

 Top 10%
 Top 25%
 Middle 50%
 Lower 25%
Total number of students in the current level/batch: _____________

RECOMMENDATION: (please check the box)

Strongly Recommended Not
Recommended
Recommended w/ Reservation Recommended
ACADEMIC POTENTIAL
CHARACTER ATTITUDE
OVERALL RECOMMENDATION

EVALUATOR
Printed Name : ___________________________________
Signature : ___________________________________
Designation : ___________________________________
Date : ___________________________________

NAME OF CURRENT SCHOOL: _______________________________________________________________

SCHOOL ADDRESS : _______________________________________________________________
SCHOOL TEL. NO : _________________________________________
EMAIL ADDRESS : _________________________________________

Recommendation Form 2021 / GCC Not valid without official seal.