Western Kentucky University-UB-Recommendation Form

  • Counselor/Teacher Recommendation Form

    The contents of this form will be kept confidential. No details will be shared with students or parents.

  • This form must be completed by a Guidance Counselor, or a Math, English, Science, Social Studies, or Foreign Language teacher. 

  • School

  • Academic Potential

  • Does the applicant have a desire and/or determination for academic success?*
  • Does the applicant possess the academic potential to continue his/her education beyond high school?*

  • Academic Background

  • Is the applicant “on track” to graduate with his/her class?*
  • Does the applicant have attendance problems?*
  • Does the applicant have discipline problems at school?*

  • Academic Need

  • Please check all of the following which apply to the student:
  • Please review entire list of (12) options and check up to 2 of the following
  • Recommendation for participation*
  • Clear
  • Date
     - -

  • Upward Bound
    Western Kentucky University
    1906 College Heights Blvd.
    Bowling Green, KY 42101-1098
    Telephone: (270) 745-4873
    Fax:  (270) 745-2031
    Website: www.wku.edu/upwardbound

    • Submit 
    • Should be Empty: