Recommendation Form for Highschool

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Recommendation Form:
Highschool Student

NOTE: This form is to be filled out by a school official

Student's First Name

Student's Middle Name

Student's Last Name

This Student Ranks:

in a class of:

Rank is calculated on a:

(If precise rank is not available, please indicate rank to nearest fifth, twentieth, twenty-fifth, and fifteenth percentile.)

Cumulative GPA:

on a ........... scale

(If 9th grade then not applicable)

Has the student taken the ACT?

Yes

No

If so, hightest ACT Composite Score:

What is the hightest math subject the student has taken or is currently taking:

What is the hightest science subject the student has taken or is currently taking:

Does the studen have any learning disabilities? * Required

Yes

No

If so, please list each disability the student has:

How would you rank the student's readiness for college: * Required

Outstanding

Excellent

Above Average

Average

Below Average

How familiar are you with SR1 (Scientific Research) * Required

I am very familiar with SR1

I know something about SR1

I know very little about SR1

Has the student ever had any type of disciplinary issues (i.e. fighting, ISS, or suspension)? * Required

Yes

No

If so, please explain the student has:

Name of Recommender:

Phone

Email

Thanks for submitting!

info@sr1tech.org

601.206.4544

369 Towne Center Blvd. Ridgeland, MS 39157

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Recommendation Form: Highschool Student

NOTE: This form is to be filled out by a school official

info@sr1tech.org

Recommendation Form:
Highschool Student