Partners In Ministry-UB-Recommendation Form

To Whom It May Concern:

The student listed below is applying for admission into Partners In Ministry Upward Bound 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 an ability to learn. To return this form, please email info@pim-nc.org or fax to 910-277-3358. You may also return the completed Recommendation Form to the student in a sealed envelope to submit with his/her completed student application. Should you have any questions or concerns, please feel free to contact our office at 910-277-3355. 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/Course Grade

Please select the appropriate column for each characteristic listed:

	EXCELLENT	AVERAGE	FAIR	POOR
Conduct in class
Willingly participates in class
Respects other and their property
Ability to follow instructions
Completes assignments on time
Study skills/habits
Analytical thinking skills
Maturity/integrity
Punctuality
Eager to learn new things
Demonstrates motivation to complete a 6 week summer program

Please provide comments below on motivation, behavior, personality, strengths, weaknesses, that you feel are pertinent to the student’s performance on our early intervention pre-college program.

Recommender’s Information:

Name*

First NameLast Name

Job Title

Signature

Date

mm-dd-yyyy

Email*

example@example.com

Phone Number

(999)999-9999

Partners In Ministry Upward Bound Recommendation Form