Student Name: Lase

Home Phone:

Georgetown Visitation PREPARATORY SCHOOL

Teacher Recommendation Form

2017-2018 Admissions Cycle

Due December 8, 2017

Date of Birth: First l'v1iddle l\lonth/Day/Year

Gender: __ M __ F

Street Address: _________________________ Apt.#: ________ _

City:

Student's Parish: __________________ _ (N/C if not Catholic)

School Name:

Home Room Teacher: (Primary 8th Grade Teacher)

English (Language Math: Mach:

Grades Religion Reading Arts, Regular Algebra Grammar, Vocabularv

7th Grade: Final Grades

8th Grade: 1st Quarter

State:

Location:

School Phone: School E-mail:

Social Studies Science

Explanation of symbols: A=93-100; B=85-92; C=77-84; D=70-76; F=Below 70

Honors Courses: Use a n asterisk (*) to indicate honors courses.

Zip:

Foreign #Days # D,11, Language Absent Lm:

Is English a second language? _ ___ Yes ____ .No If yes, what is the student's first language? _________ _

How many years has this student attended Catholic elementary school? ____ _

Principal's recommendation (please check):

One of rhe cop students I have encountered

Recommend highly

Recommend confidently

Recommend

Do not recommend I wish to provide additional information. Telephone: ___________________ _

Principal's Signature: __________________________ Dace:

Principal's Name (print or type): _______________________ _