Check your program choice(s) below:
Academy of the Arts (BTW) Academy of Leadership & Military Science (LTHS) IB Program (GHS)
Leadership Center for the Sciences & Engineering (NHS) Medical & Health Specialties Program (MHS)
VI. MIDDLE SCHOOL COUNSELOR RECOMMENDATION FORM
Guidance Counselor Name (print): ______________________________________________________
Student Name: _________________________________________School: _______________________
Dear Counselor:
Thank you for taking the time to provide a better understanding of the applicant’s potential.
How long have you been this student’s guidance counselor? _____________
How familiar are you with this student and his/her work ethic?
Very familiar Somewhat familiar, but not comfortable recommending
Familiar enough Not familiar at all
Do you feel this applicant would be successful in an academically challenging program?
Yes- Strongly Recommend OK - Recommend w/reservations Do not know
Yes - Recommend No - Do NOT recommend
Performance Characteristic
Excellent /
Almost Always
Is goal orientated and serious about work
Demonstrates leadership in school
activities.
Regarding Attendance:
It is essential for a student to attend class as much as possible in order to be successful in any HSSP. If this student was
absent for more than 6 days during anytime during his/her middle school years, were there extenuating circumstances?
YES____ NO ____. If YES, please describe briefly (Illness, surgery, relocation, etc.).
____________________________________________________________________________________
Discipline Record: Yes, see attached No discipline record
Academy of the Arts Applicants Only—Check Focus Area:
Dance Instrumental Music Theatre Visual Arts Vocal Music
Please include any additional comments you feel would be helpful as we consider this applicant _______________________
_____________________________________________________________________________________________________
Counselor’s Signature: ___________________________________________ Date: ________________
Note to Counselor: Please use the Application Checklist provided to insure all items are included in the student’s application
packet, including a copy of his/her middle school grades, test scores, attendance, and discipline records.