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Academic Recommendation Form
To: School Advisor, Counselor, Principal or Teacher
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* Indicates required question
Email
*
Your email
RE:
Student’s Name (Please Type Name)
Your answer
This student has applied to participate in the Drury University College Assistance Migrant Program (DU-CAMP). A high school staff member or another appropriate academic reference must complete the information requested below before the application can be considered.
Please evaluate the student’s academic performance adding any additional comments as needed.
*
Check the appropriate level for each skill
Excellent
Good
Fair
Needs Improvement
English (Writing)
English (Oral)
English (Reading)
Math
Excellent
Good
Fair
Needs Improvement
English (Writing)
English (Oral)
English (Reading)
Math
Please add any comments based on previous answer
*
Your answer
Please evaluate the student’s academic performance adding any additional comments as needed.
*
Check the appropriate level for each skill
Excellent
Good
Fair
Needs Improvement
Extracurricular Involvement
Academic Discipline
Attendance
Overall Academic Performance
Excellent
Good
Fair
Needs Improvement
Extracurricular Involvement
Academic Discipline
Attendance
Overall Academic Performance
Please add any comments based on previous answer
*
Your answer
Please comment on personal qualities of the student, such as self-discipline, initiative, enthusiasm, and consistency?
*
Your answer
In your opinion how will this student adapt to college setting? Will he/she be successful?
*
Your answer
What barriers could stop the student from completing their first year of college?
*
Your answer
Reference Name
*
Your answer
Telephone
*
Your answer
School District
*
Your answer
Title
*
Your answer
Signature
*
Please type your full name and date
Your answer
Contact Information
Elizabeth Nichols, Project Investigator
enichols@drury.edu
Yesy Perez, Director
yperez@drury.edu
Rhonda Schilly, Coordinator
rschilly@drury.edu
Jennifer Cogburn, Academic & Career Advisor
jcogburn@drury.edu
Jennifer Rueda, Student Retention Specialist
jrueda003@drury.edu
Lizbeth Fernandez, Assistant
lfernandez003@drury.edu
400 4th Street | Monett, MO 65708 | Tel. 417-873-6620
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