Kishwaukee College-UB-Counselor Recommendation

Upward Bound Counselor Recommendation
The Kishwaukee College TRIO Upward Bound is a federally funded college-prep program that serves DeKalb High School students who identify as either low-income, first-generation, or at high risk for academic failure. Ideal candidates for TRIO Upward Bound are low-income & first-generation, have a 2.5 cumulative GPA, and have the intrinsic motivation to succeed. The student indicated in the email invitation is applying to the Upward Bound program at Kishwaukee College. We are interested in attracting quality applicants who want to pursue a college education upon graduation from high school. Please complete this form to help us identify if this student will be a good candidate for the TRIO Upward Bound Program. We appreciate your assistance with this evaluation! If you have any questions or concerns, don't hesitate to contact us at trioub@kish.edu or 815-825-9437.
Counselor Email *
example@example.com
Counselor Office Number *
(999)999-9999
Student Name*

First NameLast Name
The above named student has applied for admission to the Kishwaukee College Upward Bound Program, a college completion program serving students at DeKalb High School. The program assists potential first generation college students who reside in limited income households by providing the support and motivation necessary to graduate high school and earn a post-secondary degree. Students participate until they graduate from high school and receive all services at no cost. Students are not required to attend Kishwaukee College. Upward Bound is funded by the U.S. Department of Education and is a department within TRIO at Kishwaukee College.

For more information, contact the TRIO Upward Bound Director at 815-825-9437, trioub@kish.edu, or https://www.kish.edu/services-additional-services/trio-upward-bound

Please assist us in evaluating this student by completing this recommendation form, and attaching a copy of the student’s unofficial transcript, most recent standardized test scores, and IEP / Section 504 Plan summary if applicable. You may return the recommendation form and documents to the student for submission, send via e-mail, or Student Services at DeKalb High School.
Counselor Name*

First NameLast Name
To the Counselor:

Since an application cannot be evaluated until we have received this form, both the student and Upward Bound Program would appreciate a prompt reply. Please rate the following qualities on a scale of 1 to 5 with 1 being the lowest and 5 being the highest. Select one number per category.
Leadership*

12345
Attitude*

12345
Behavior*

12345
Self-Motivation*

12345
Independence*

12345
Academic Ability*

12345
Verbal/Public Speaking*

12345
Citizenship*

12345
Overall, how would you rate this student’s ability to participate successfully in the Upward Bound Program?*
We would welcome any additional comments you think might be helpful to us. Additional comments may include information about the applicant’s background, the applicant’s attitude towards education; his or her specific strengths and/or weaknesses and other relevant scholastic information.
Title *
How long have you known the student?*
Current Grade Level*
Cumulative GPA (Unweighted) *
Class Rank
___/___
Did the student meet the state standard in math at the 8th grade level?*

YesNo
Did the student meet the state standard in reading/language arts at the 8th grade level?*

YesNo
If 8th grade test results are unavailable, please indicate and use the most recent test results.
What is the student’s overall academic performance?*

PoorAverageGoodExcellent
In what type of curriculum is the student enrolled?*

Special EducationDevelopmentalRegular OnlyRegular and AdvancedAdvanced
Has the student had any discipline or behavioral issues in the previous 12 months?*

YesNo
If yes, please include a copy or summary.
If yes, please indicate below

Aggressive BehaviorDisobey Staff DirectivesInterference / Disruption of Educational Function TrespassingElectronic DeviceExcessive Absences/TardiesGang ActivityVandalism / Property Damage /TheftMisuse of Technology
What are the student’s habits with regard to attendance and punctuality?*

No IssuesOccasional / Monthly IssueFrequent / Weekly IssueDaily Issue
What is the student’s level of maturity?*

Below AverageAverageAbove Average
Does the student have an Individualized Education Program (IEP) or a Section 504 Plan?*

YesNo
If yes, please attach a complete copy including the most recent review.

Cancelof
Please indicate any academic, personal, or family circumstances we should take into consideration when considering this student's application:
Recommendation*

Do not recommendRecommend with reservationsRecommendHighly recommend
Signature*

Clear
Date*

MonthDayYear
mm-dd-yyyy

Upward Bound Counselor Recommendation