school recommendation and transcript release - The Madeira School
school recommendation and transcript release
Admission Office • 8328 Georgetown Pike • McLean, Virginia 22102-1200 703-556-8273 • Fax 703-821-2845 • [email protected] • www.madeira.org CONFIDENTIAL Name of Applicant _______________________________________________________________________________ Applying for Grade: 9 10 11 Status: Boarder Day Starting September 20______
Transcript Release (signature required) Well authorize our daughter’s complete academic transcript, disciplinary record, and testing results to be released to The Madeira School. Signature of Parent(s)/Guardian(s)____________________________________ Date_______________________ Name of Parent(s)/Guardian(s)_________________________________________________________________
To Be Completed by the Applicant’s Current School Principal or Counselor (after the first marking period) The Madeira School depends upon a strong sense of community and individual responsibility for the quality of school life. Your answers to the following questions will help the admission committee determine the applicant’s potential for success in this community. Please feel free to elaborate on an additional sheet of paper. All information is confidential and will only be shared with members of the admission committee. We appreciate your honesty and candor. How would you assess this student’s skills as a learner?
Has this student ever been involved in any disciplinary action? If yes, please explain.
Please describe this student’s role in your school community.
Does this student receive any accommodation or extra help and/or tutoring?
No
Unsure
Yes
If yes, for what purpose and how often? _________________________________________________________________ Please comment on the applicant’s attendance and punctuality record.
What weaknesses or academic difficulties has this student experienced in your rigorous academic environment?
Other comments:
This report is based on: (check all that apply) personal contact
counseling contact
teacher comments
records only
Transcript
Please attach the applicant’s transcript (from at least the complete prior year and the current year) including all grades, testing results, and an explanation of the marking system and/or school profile. Return directly to Madeira at the address listed below.
Signature Signature _________________________________________________________ Date_________________________ Please Print Name ________________________________________________________________________________ Title __________________________________________________________________________________________ School ________________________________________________________________________________________ School Address __________________________________________________________________________________ City
Telephone (
State
Zip
Country
) _________________________ Email _______________________________________________ (include country, city and area codes)
Please save and email as attachment to: [email protected] (Please keep originals of emailed documents.) Deadline for completed application: February 1 Applications completed after February 1 will be considered on a space available basis. The Madeira School admits girls of any race, color, religion, sexual orientation, national or ethnic origin.
Admission Office • 8328 Georgetown Pike • McLean, Virginia 22102-1200 703-556-8273 • Fax 703-821-2845 • [email protected] • www.madeira.org CONFIDENTIAL Name of Applicant _______________________________________________________________________________ Applying for Grade: 9 10 11 Status: Boarder Day Starting September 20______
Transcript Release (signature required) Well authorize our daughter’s complete academic transcript, disciplinary record, and testing results to be released to The Madeira School. Signature of Parent(s)/Guardian(s)____________________________________ Date_______________________ Name of Parent(s)/Guardian(s)_________________________________________________________________
To Be Completed by the Applicant’s Current School Principal or Counselor (after the first marking period) The Madeira School depends upon a strong sense of community and individual responsibility for the quality of school life. Your answers to the following questions will help the admission committee determine the applicant’s potential for success in this community. Please feel free to elaborate on an additional sheet of paper. All information is confidential and will only be shared with members of the admission committee. We appreciate your honesty and candor. How would you assess this student’s skills as a learner?
Has this student ever been involved in any disciplinary action? If yes, please explain.
Please describe this student’s role in your school community.
Does this student receive any accommodation or extra help and/or tutoring?
No
Unsure
Yes
If yes, for what purpose and how often? _________________________________________________________________ Please comment on the applicant’s attendance and punctuality record.
What weaknesses or academic difficulties has this student experienced in your rigorous academic environment?
Other comments:
This report is based on: (check all that apply) personal contact
counseling contact
teacher comments
records only
Transcript
Please attach the applicant’s transcript (from at least the complete prior year and the current year) including all grades, testing results, and an explanation of the marking system and/or school profile. Return directly to Madeira at the address listed below.
Signature Signature _________________________________________________________ Date_________________________ Please Print Name ________________________________________________________________________________ Title __________________________________________________________________________________________ School ________________________________________________________________________________________ School Address __________________________________________________________________________________ City
Telephone (
State
Zip
Country
) _________________________ Email _______________________________________________ (include country, city and area codes)
Please save and email as attachment to: [email protected] (Please keep originals of emailed documents.) Deadline for completed application: February 1 Applications completed after February 1 will be considered on a space available basis. The Madeira School admits girls of any race, color, religion, sexual orientation, national or ethnic origin.
