University Of Texas-Arlington-UB 1-Recommendation Form

Hello!

You are being asked to participate in offering a recommendation for a student who has applied to be part of the Upward Bound program at the University of Texas at Arlington!

Upward Bound is a college readiness program that serves students from low income or first generation families who demonstrate they have a strong dedication to attending college. We provide students with many opportunities including free access to tutoring, SAT/ACT Prep, a summer residency program at UTA, and scholarships. You can find out more about us HERE.

You should only be filling out this survey if you are a teacher who has had experience with the student whom has asked you for your recommendation. It should take less than 5 minutes

If you have questions at any time about the survey or the procedures, you may contact upwardbound@uta.edu. Thank you very much for your time and support of your students.

Name of the Student you are Recommending*

First NameLast Name

High School Name*

Your Full Name*

First NameLast Name

Your email address*

example@example.com

What is your Job Position?*

TeacherCounselor

In what course did you teach the student?*

Please rate the student's ability in the following areas:*

	Highly	Capable (Top Performer) Capable	Neutral	Needs Improvement	Poor Performance
Critical Thinking
Leadership
Dedication to studies
Cooperation with peers
Self-Respect
Classroom Involvement
School Community Involvement
College Readiness
Desire for Achievement
Perseverance

Please offer any examples about this student's qualifications to be in a program that sets high expectations and demands excellence from its members.*

Do you have any reservations about recommending this student?*

Please sign to affirm this recommendation using your mouse/cursor in the box below.*

Type of Degree Plan:*

DistinguishedRecommendedOther

Cumulative GPA (4.0 scale):*

Credits Earned to Date:*

Credits Required for Graduation:*

Which endorsement is the student currently pursuing for graduation?*

Please Rate the student*

	Not Satisfied	Somewhat Satisfied	Satisfied	Very Satisfied
Has shown or expressed commitment toward completing a college preparatory curriculum
Has shown interest in postsecondary education
Is at appropriate level of maturity for grade level
Cooperates with school staff
Is achieving at his/her potential
Has good relationships with peers/classmates
Demonstrates leadership potential

Indicate the student's Most significant academic need (Check all that apply)*

Low Grade Point AverageLow achievement test scoresLow educaitonal aspirationsLack of challenging coursesLack of career goals and/or informationLimited English proficiencyLack of self confidence and/or social skills

Please sign to affirm this recommendation using your mouse/cursor in the box below.*

Upward Bound Recommendation Form

Teacher Recommendation

Counselor Recommendation