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?

YesNo

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

YesNo

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 RECOMMENDATION FORM