1. Name of student:
2. High School student attends/attended:

3. How long and in what connection have you known the applicant?

4. What are the first words which come to mind to describe the applicant?

5. Intellectual qualities and academic work: Assess, if possible, the applicant's commitment to intellectual pursuits. You may choose to comment on the candidate's self-expression in writing and speech and his or her capacity for independent study, but please don't limit your response to these qualities. Specific examples are particularly useful.

6. Quality of non-academic performance: We already have information on the extracurricular activities and interests of the applicant. If you are familiar with the applicant's performance in these areas, please assess his or her competence, talent, and leadership.

7. Character, goals, and values: We are interested in anything you can tell us about the applicant's personal qualities. Specific examples of strengths, weaknesses, or circumstances in family or economic background are helpful.

8. We welcome any additional comments.

9. Based on my knowledge of the candidate's potential for success in college, I would rate the applicant:

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