LULAC National Educational-Albuquerque-UB 3-Teacher Recommendation

Teacher/Counselor Recommendation Form

Dear Teacher/Counselor:

The student listed below is applying for admission into the LULAC National Educational Service Center (LNESC) Upward Bound (UB) Program. 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. If you have any questions or concerns, please feel free to contact Hope Willenbrink at (920) 205-7414. The time and effort you have taken to complete this form is sincerely appreciated.

Student's Name*

First NameLast Name

Grade Level*

School*

Class/Course Subject*

Current Class Grade*

Please check the appropriate column for each characteristic listed below*

	Excellent	Average	Fair	Poor
CONDUCT IN CLASS
WILLINGLY PARTICIPATES IN CLASS
RESPECTS OTHERS AND THEIR PROPERTY
ABILITY TO FOLLOW INSTRUCTIONS
COMPLETES ASSIGNED WORK ON TIME
STUDY SKILLS/HABITS
ANALYTICAL THINKING SKILLS
MATURITY/INTEGRITY
EAGER TO LEARN NEW THINGS/INITIATIVE
MOTIVATION
CAPABLE TO COMPLETE COLLEGE

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

Teacher/Counselor's Name & Title*

First NameLast Name

Teacher/Counselor's Email*

example@example.com

School Telephone Number*

(999)999-9999

Teacher/Counselor's Signature*

Date*

mm-dd-yyyy

The Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. §1232g, is a federal law providing for the review and disclosure of student educational records. The LULAC National Educational Service Center 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 parent/guardian and student, except as authorized by FERPA.