Pima Community College-Northwest Campus-UB-Teacher Recommendation

TEACHER/COUNSELOR RECOMMENDATION FORM

Dear Teacher/Counselor:

Your student is applying for admission into the Upward Bound (UB) Program of the Pima Community College, Northwest Campus. TRiO Upward Bound is a college preparatory program for low income and/or first-generation college students. Your assessment of the student’s conduct, character, and academic need for program services is an integral element in the admission process. Please give us your honest assessment of this student’s desire and ability to learn. Please submit this completed Recommendation Form. Should you have any questions or concerns, please feel free to contact Maria Solis-Camarena, Upward Bound Program Manager, at mjsolis@pima.edu.

The time and effort you have taken to complete this form are sincerely appreciated.

Student's Name*

First NameLast Name

Student Email

example@example.com

Grade Level*

School*

Class/Course Subject*

Current Class/Course Letter Grade*

Please rate the student's characteristics based on the following criteria*

	Excellent	Average	Fair	Poor
Conduct in Class
Willingly Participates in Class
Respects Others and their Property
Completes Assigned Work on Time
Study Skills/Habits
Analytical Thinking Skills
Maturity/Integrity
Punctuality
Eager to Learn New Things/Initiative
Demonstrates Motivation to Complete 6-Week Summer Program

Overall, do you feel this student can benefit from the services provided (tutoring, enrichment classes, career and college advising, etc.) by the TRiO Upward Bound Program?*

YesNo

Please provide comments on motivation, behavior, personality, strengths or weaknesses that you feel are pertinent to the student’s performance in Upward Bound.*

Teacher's Name*

First NameLast Name

Teacher's Email*

example@example.com

School Phone Number*

(999)999-9999

Teacher's Signature*

Date Signed*

mm-dd-yyyy

The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, is respectively federal and state law providing for the review and disclosure of student educational records. Pima Community College Upward Bound TRIO program will not permit access to or the release of personally identifiable information contained in student educational records to any party without the written consent of the student, except as authorized by FERPA.