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Student Name: Lase
Home Phone:
Georgetown Visitation PREPARATORY SCHOOL
Teacher Recommendation Form
2017-2018 Admissions Cycle
Due December 8, 2017
Date of Birth: First l'v1iddle l\lonth/Day/Year
Gender: __ M __ F
Street Address: _________________________ Apt.#: ________ _
City:
Student's Parish: __________________ _ (N/C if not Catholic)
School Name:
Home Room Teacher: (Primary 8th Grade Teacher)
English (Language Math: Mach:
Grades Religion Reading Arts, Regular Algebra Grammar, Vocabularv
7th Grade: Final Grades
8th Grade: 1st Quarter
State:
Location:
School Phone: School E-mail:
Social Studies Science
Explanation of symbols: A=93-100; B=85-92; C=77-84; D=70-76; F=Below 70
Honors Courses: Use a n asterisk (*) to indicate honors courses.
Zip:
Foreign #Days # D,11, Language Absent Lm:
Is English a second language? _ ___ Yes ____ .No If yes, what is the student's first language? _________ _
How many years has this student attended Catholic elementary school? ____ _
Principal's recommendation (please check):
One of rhe cop students I have encountered
Recommend highly
Recommend confidently
Recommend
Do not recommend I wish to provide additional information. Telephone: ___________________ _
Principal's Signature: __________________________ Dace:
Principal's Name (print or type): _______________________ _