Cranbrook Educational Community-UB-Counselor Recommendation

Student Name

First NameLast Name

Current School

Current Grade

Current GPA

Your Name

First NameLast Name

Position/Title

1. Does the student have an IEP and/or BIP? If so, please state his/her restrictions or attach a copy (please indicate if IEP/BIP is attached in the space below). Does the student have any physical limitations? If so, please describe:

2. Has the student had any discipline and/or attendance issues? If so, please explain:

3. Please identify the student’s major needs for academic/social enrichment? (check all that apply)

4. Does this student have academic potential for post‐secondary education pursuits?

5. Do you recommend this student to participate in Horizons‐Upward Bound?

6. Statement of support:

7. 8th Grade Counselors - Please attach a copy of the student’s 1st semester report card and the most recent I-Ready scores.

Counselors of Upperclassmen - Please attach a copy of the student’s transcript and the most recent standardized test scores

1st semester report card (8th grade) or transcript (grades 9 – 11)

Browse Files

Most recent standardized test results. (PSAT or SAT)

Browse Files

Most recent standardized I-Ready Math test results.

Browse Files

Most recent standardized I-Ready Reading test results.

Browse Files

Counselor/Designated School Personnel Signature

You may use your mouse, touchpad, touchscreen, or cursor to sign

Date

mm-dd-yyyy

Phone #

(999)999-9999

Email

example@example.com

SECTION 4: COUNSELOR REVIEW FORM