Jack C.
Hays High School
Letter of Recommendation Packet
CEEB (school code) 443-925
Date:
Student:
Address:
TX
Date of Birth: Phone #:
Email Address:
Student Instructions:
Have 3 teachers/staff members complete the Teacher Input
Page and return to your counselor.
Entire packet should be completed and given to your
counselor, prior to any information or letter requests for
admissions or scholarships.
Please check your time lines for college applications and
allow 2 weeks for your recommendation to be prepared by
your counselor or teacher.
Student Resume
Please provide a resume with the following information:
Academic Recognition
What awards or scholarships have you received in high school?
Award/Scholarship
Date received
Extracurricular Activities
List all extra-curricular activities you have been involved with.
Activity
Dates of activity
Officer/position held
School/ non-school
Volunteer Experiences
What volunteer opportunities have you had in high school?
Organization
Date(s)
Brief explanation of volunteer duties
Employment
What employment opportunities have you had in high school?
Employer
Length of employment
Brief explanation of job duties
Autobiographical Questionnaire
What would you like the college admission committee to know about you? Additional
information may be added on a blank document if necessary.
1. Personal qualities:
2. What is your passion? What intrigues you?
3. Academic strengths:
4. Worthwhile Community Activities:
Describe the assets/characteristics that will set you apart from other college applicants.
Describe an activity or experience outside of school that has touched or inspired you.
Describe a classroom or academic experience that has given you great satisfaction in the
last two years.
What are your goals for the future?
Parent/Guardian Information Sheet
Your student may be applying for admission to a college which requires a counselor
recommendation. We know you have insight into his/her background, interests, special
talents and ambitions. Please feel free to complete this form either individually or together.
You may attach additional pages, if needed. When complete, please have your student
email this information to their counselor.
1. Why would someone want to be your students roommate?
2. What motivates your student? How would someone notice this?
3. Explain how your student reacted to any unusual circumstances or situations in
the family.
4. Describe the assets/characteristics that will set your student apart from other
college applicants.
What makes you the proudest of your student? (Anecdote essential!)
Request for a Letter of Recommendation
(Must receive request 2 weeks before your deadline)
Mr. or Mrs. , I would like
to request a letter of recommendation from you. I am
providing the following information and details. I hope
that you can assist me with this request.
Name:
Requesting a letter of recommendation for (University,
Scholarship, etc.)
Deadline Date:
Will pick up or please mail to (attach envelope and
postage):
Thank you for your assistance!
TEACHER INPUT FOR COUNSELOR RECOMMENDATION PACKET
DATE:
STUDENT:
COUNSELOR: TEACHER:
How long have you know this student?
Please rate this student and add any comments on the lines below the table.
Rating 5- Excellent 4- Above 3-Average 2- Below 1-Cannot
Average Average Rate
Turns in class
assignments
Class work ethic
Prepared for tests
Responsible
Study Habits
Group Work
Prepared for class
Creativity
Leadership
Citizenship
Independence
Motivation
Class participation
COMMENTS:
Student Instructions: This form should be given to three separate teachers.
Teacher Instructions: Please complete the above information for the student indicated.
After completion, please return form to the appropriate counselor. Thank you.
TEACHER INPUT FOR COUNSELOR RECOMMENDATION PACKET
DATE:
STUDENT:
COUNSELOR: TEACHER:
How long have you know this student?
Please rate this student and add any comments on the lines below the table.
Rating 5- Excellent 4- Above 3-Average 2- Below 1-Cannot
Average Average Rate
Turns in class
assignments
Class work ethic
Prepared for tests
Responsible
Study Habits
Group Work
Prepared for class
Creativity
Leadership
Citizenship
Independence
Motivation
Class participation
COMMENTS:
Student Instructions: This form should be given to three separate teachers.
Teacher Instructions: Please complete the above information for the student indicated.
After completion, please return form to the appropriate counselor. Thank you.
TEACHER INPUT FOR COUNSELOR RECOMMENDATION PACKET
DATE:
STUDENT:
COUNSELOR: TEACHER:
How long have you know this student?
Please rate this student and add any comments on the lines below the table.
Rating 5- Excellent 4- Above 3-Average 2- Below 1-Cannot
Average Average Rate
Turns in class
assignments
Class work ethic
Prepared for tests
Responsible
Study Habits
Group Work
Prepared for class
Creativity
Leadership
Citizenship
Independence
Motivation
Class participation
COMMENTS:
Student Instructions: This form should be given to three separate teachers.
Teacher Instructions: Please complete the above information for the student indicated.
After completion, please return form to the appropriate counselor. Thank you.
