University Of Tennessee-Knoxville-Pre College-UB-Counselor Recommendation

School Counselor Recommendation Form

Pre-College Upward Bound
Name of Student:

First NameLast Name
Current Grade Level:
Name of School Counselor:

First NameLast Name
Email:
example@example.com
School:
Other School:
Please check the appropriate statement concerning the above-named student who is applying to the University of Tennessee's Pre-College Upward Bound (PCUB) program.
Please select:
Student's performance on standardized tests:
State Reading / Language Arts:
State Math:

Based on my professional judgment, this student would benefit most from the following services: (Please rate 1-6 in order of importance, where 1 = greatest need)

Rows	1	2	3	4	5	6
Academic Instruction / Tutoring
Counseling (financial aid, educational, career, etc.)
Cultural Activities
On-campus Summer Experience
College Visits / Field Trips
Other (please specify below)

Additional comments or explanations of answers above:
School Counselor's Signature:
Date:

MonthDayYear
mm-dd-yyyy

School Counselor Recommendation Form