GRADE 9â12
GRA D E 9 –12 S C H O O L R E C O M M E N DATI O N C H E C K LI ST
PAR E NT/G UAR DIAN P E R M I S S ION FOR SCHO OL TO R E LEAS E STU DE NT R EC OR DS TO B E R K E LEY P R E PARATORY SCHO OL Name of Applicant Grade Applying:
The form below is to be completed by the appropriate person at your child’s current school (administrator, counselor or current academic teacher) after November 15. The current school will mail this form and any available evaluative reports directly to Berkeley. A parent may not “hand carry” this form to Berkeley. A return envelope has been included for your school’s convenience. The Admissions Committee cannot act until this confidential recommendation has been received. This form will be used only for the admissions process and will not become a part of the student’s permanent record at Berkeley or shared with the applicant’s family. In order to allow the applicant to be considered for admission to Berkeley, I/we authorize the release of my/our child’s academic records. I/We will not seek access to confidential recommendation and evaluation materials before and/or after the admission decision is made. At a later time after acceptance has been offered, I/we authorize the release of the full student record when transfer to Berkeley occurs. Signatures of Parents/Guardians Date
Child’s current school must make a copy of this form and retain as record of parent permission. SCHO OL R EC OM M E N DATION CH ECK LI ST TO B E C OM P LETE D AF TE R NOVE M B E R 15
To be completed by an administrator, counselor or current academic teacher Name of Applicant Grade Applying:
This student is seeking admission to Berkeley Preparatory School, an independent coeducational day school. The school curriculum is college preparatory. Please complete this form and mail it to Berkeley with a transcript of grades earned for the last two years and the current year to date. Also include the marking system you use (A = 90-100 for example), all standardized test scores for achievement, ability and intelligence, SSAT, ACT, PLAN, PSAT/NMSQT and College Board SAT. Please show percentiles or stanines and whether national or independent school norms were used. All information is kept strictly confidential and used only for admissions purposes. This paragraph for schools outside the United States only: Transcripts in a foreign language must be translated into English and certified by a United States Consul. In addition to the mark received for each subject, foreign transcripts must show the number of classroom hours per week for each subject. If a science course was taken, please indicate whether the course included laboratory work. If a mathematics course was taken, please indicate course content if the title is not self-explanatory. With this information, we can properly place the student. We would appreciate your observations about the areas listed below. You may indicate your ratings by numbers (1 to 5) in the right-hand column. AREAS
Academic Ability
Exceptionally promising, strong ability
Fine student, above average ability
Capable of passing work, average ability
4 5 Marginal ability Poor academic risk or questionable motivation
Ability to Work Well Independently
Consistently works well
Needs help occasionally
Needs help frequently
Needs constant help
Is unable to work independently
Initiative and Drive
Outstanding, very motivated
Well above average, motivated
Generally motivated
Occasionally weak or lacking in motivation
Very weak, unmotivated
Conduct
Outstanding in every respect
Generally excellent
Good or acceptable
Marginal or unappealing
Poor or reprehensible
Personal Qualities
Outstanding in every respect
Considerable appeal, generally quite strong
Generally okay, no strengths, no weaknesses
Not very appealing, immature
Poor impression, unstable, very immature
Emotional Stability
Exceptionally stable
Well-balanced
Usually well-balanced
Excitable or unresponsive
Hyper-emotional or apathetic
Integrity
Highly trustworthy
Usually trustworthy
Occasionally trustworthy
Weak or questionable
Record of dishonesty
Leadership/ Extracurricular Activities
Outstanding leader, “top” activities
Real contributor, potential for leadership
Fairly active, some activities
Minor participation in activities
Few or no activities
Creativity
Innovative, “out of the box” thinker, highly creative
Usually demonstrates creativity or imagination
Sometimes demonstrates creativity or imagination
Rarely demonstrates creativity or imagination
No basis for judgment
Recommendation as a Student
Enthusiastic (top 10%)
Strong (top 25%)
Comfortable (median)
With reservations
I do not recommend this student
Good
Fair
Poor
Recommendation as a Person
1
Outstanding
2
Excellent
4 811 K E LLY R OAD, TAM PA, F L 33 615
3
phone 813.8 85.1673
fax 813.8 8 6.6 933
YOUR RATING
www.berkeleyprep.org
(continued on back)
We would appreciate receiving your answers to the following questions that relate to the candidate. 5. Are parents cooperative?
1. Is the candidate in good standing and eligible to re-enter your school if you offer
the next grade level? Yes
No
No
No
Elaborate
3. Has any disciplinary action ever been taken on this student? Yes
Elaborate
No
Elaborate
school bills on time? Yes
No
Not applicable
7. How would you compare this student to others whom you have observed in
4. Has the candidate any physical, social or emotional limitations?
Yes
No
6. If your school is private, does the family meet its financial responsibilities for
2. Has the candidate been involved with alcohol or drugs? Yes
Yes
similar circumstances? One of the top few I have encountered in my career Outstanding
Excellent
Fair
Below average
Good (above average)
I M P ORTANT R EQU E ST Please use this space to write your estimate of the applicant’s possible success at and contribution to Berkeley. You are encouraged to comment candidly on those characteristics of the applicant that seem to you to distinguish him or her from other students with whom you have been associated. Illustrate by example when appropriate. Is the candidate’s record with your school a true index of ability, or have outside circumstances interfered with academic achievement? (For example: illness, excessive involvement in extracurricular activities, difficult home situation) What suggestions can you give Berkeley to help this student be successful and happy? Thank you for your time and effort in evaluating this student and assisting both the candidate and Berkeley. Your information will remain confidential.
Signature of Evaluator Date Printed Name email: Telephone (
)
In what capacity have you known the applicant? Length of Acquaintance
Signature of Principal / Head of School Date Name of School School Address
email: Telephone (
City State
Zip
)
You are welcome to call if you would like to discuss the candidate personally. After completion of both sides of this form, please attach a transcript of grades earned for the last two years and the current year to date. Also include all standardized test scores. Mail to:
DI R ECTOR OF ADM I S S ION S, B E R K E LEY P R E PARATORY SCHO OL
4 8 11 K E LLY ROAD, TAM PA, F L 33 6 15 phone 8 13.8 8 5.1673 fax 8 13.8 8 6.6 933
PAR E NT/G UAR DIAN P E R M I S S ION FOR SCHO OL TO R E LEAS E STU DE NT R EC OR DS TO B E R K E LEY P R E PARATORY SCHO OL Name of Applicant Grade Applying:
The form below is to be completed by the appropriate person at your child’s current school (administrator, counselor or current academic teacher) after November 15. The current school will mail this form and any available evaluative reports directly to Berkeley. A parent may not “hand carry” this form to Berkeley. A return envelope has been included for your school’s convenience. The Admissions Committee cannot act until this confidential recommendation has been received. This form will be used only for the admissions process and will not become a part of the student’s permanent record at Berkeley or shared with the applicant’s family. In order to allow the applicant to be considered for admission to Berkeley, I/we authorize the release of my/our child’s academic records. I/We will not seek access to confidential recommendation and evaluation materials before and/or after the admission decision is made. At a later time after acceptance has been offered, I/we authorize the release of the full student record when transfer to Berkeley occurs. Signatures of Parents/Guardians Date
Child’s current school must make a copy of this form and retain as record of parent permission. SCHO OL R EC OM M E N DATION CH ECK LI ST TO B E C OM P LETE D AF TE R NOVE M B E R 15
To be completed by an administrator, counselor or current academic teacher Name of Applicant Grade Applying:
This student is seeking admission to Berkeley Preparatory School, an independent coeducational day school. The school curriculum is college preparatory. Please complete this form and mail it to Berkeley with a transcript of grades earned for the last two years and the current year to date. Also include the marking system you use (A = 90-100 for example), all standardized test scores for achievement, ability and intelligence, SSAT, ACT, PLAN, PSAT/NMSQT and College Board SAT. Please show percentiles or stanines and whether national or independent school norms were used. All information is kept strictly confidential and used only for admissions purposes. This paragraph for schools outside the United States only: Transcripts in a foreign language must be translated into English and certified by a United States Consul. In addition to the mark received for each subject, foreign transcripts must show the number of classroom hours per week for each subject. If a science course was taken, please indicate whether the course included laboratory work. If a mathematics course was taken, please indicate course content if the title is not self-explanatory. With this information, we can properly place the student. We would appreciate your observations about the areas listed below. You may indicate your ratings by numbers (1 to 5) in the right-hand column. AREAS
Academic Ability
Exceptionally promising, strong ability
Fine student, above average ability
Capable of passing work, average ability
4 5 Marginal ability Poor academic risk or questionable motivation
Ability to Work Well Independently
Consistently works well
Needs help occasionally
Needs help frequently
Needs constant help
Is unable to work independently
Initiative and Drive
Outstanding, very motivated
Well above average, motivated
Generally motivated
Occasionally weak or lacking in motivation
Very weak, unmotivated
Conduct
Outstanding in every respect
Generally excellent
Good or acceptable
Marginal or unappealing
Poor or reprehensible
Personal Qualities
Outstanding in every respect
Considerable appeal, generally quite strong
Generally okay, no strengths, no weaknesses
Not very appealing, immature
Poor impression, unstable, very immature
Emotional Stability
Exceptionally stable
Well-balanced
Usually well-balanced
Excitable or unresponsive
Hyper-emotional or apathetic
Integrity
Highly trustworthy
Usually trustworthy
Occasionally trustworthy
Weak or questionable
Record of dishonesty
Leadership/ Extracurricular Activities
Outstanding leader, “top” activities
Real contributor, potential for leadership
Fairly active, some activities
Minor participation in activities
Few or no activities
Creativity
Innovative, “out of the box” thinker, highly creative
Usually demonstrates creativity or imagination
Sometimes demonstrates creativity or imagination
Rarely demonstrates creativity or imagination
No basis for judgment
Recommendation as a Student
Enthusiastic (top 10%)
Strong (top 25%)
Comfortable (median)
With reservations
I do not recommend this student
Good
Fair
Poor
Recommendation as a Person
1
Outstanding
2
Excellent
4 811 K E LLY R OAD, TAM PA, F L 33 615
3
phone 813.8 85.1673
fax 813.8 8 6.6 933
YOUR RATING
www.berkeleyprep.org
(continued on back)
We would appreciate receiving your answers to the following questions that relate to the candidate. 5. Are parents cooperative?
1. Is the candidate in good standing and eligible to re-enter your school if you offer
the next grade level? Yes
No
No
No
Elaborate
3. Has any disciplinary action ever been taken on this student? Yes
Elaborate
No
Elaborate
school bills on time? Yes
No
Not applicable
7. How would you compare this student to others whom you have observed in
4. Has the candidate any physical, social or emotional limitations?
Yes
No
6. If your school is private, does the family meet its financial responsibilities for
2. Has the candidate been involved with alcohol or drugs? Yes
Yes
similar circumstances? One of the top few I have encountered in my career Outstanding
Excellent
Fair
Below average
Good (above average)
I M P ORTANT R EQU E ST Please use this space to write your estimate of the applicant’s possible success at and contribution to Berkeley. You are encouraged to comment candidly on those characteristics of the applicant that seem to you to distinguish him or her from other students with whom you have been associated. Illustrate by example when appropriate. Is the candidate’s record with your school a true index of ability, or have outside circumstances interfered with academic achievement? (For example: illness, excessive involvement in extracurricular activities, difficult home situation) What suggestions can you give Berkeley to help this student be successful and happy? Thank you for your time and effort in evaluating this student and assisting both the candidate and Berkeley. Your information will remain confidential.
Signature of Evaluator Date Printed Name email: Telephone (
)
In what capacity have you known the applicant? Length of Acquaintance
Signature of Principal / Head of School Date Name of School School Address
email: Telephone (
City State
Zip
)
You are welcome to call if you would like to discuss the candidate personally. After completion of both sides of this form, please attach a transcript of grades earned for the last two years and the current year to date. Also include all standardized test scores. Mail to:
DI R ECTOR OF ADM I S S ION S, B E R K E LEY P R E PARATORY SCHO OL
4 8 11 K E LLY ROAD, TAM PA, F L 33 6 15 phone 8 13.8 8 5.1673 fax 8 13.8 8 6.6 933
