Official High School University Program Recommendation Form
Student’s Name
Phone Number (
Grade
)
Term/Year Applying
To the student: Complete the above information and then give this form to a counselor/teacher who can
comment about your potential to succeed in college.
To the individual completing this form:
The person whose name appears above has applied for an early entrance to California State University,
San Bernardino. The selection committee would appreciate your answering the questions below in a
candid manner, noting particular incidents which illustrate his/her maturity, initiative, and academic
potential to succeed in college, while still attending high school. Please understand that your
recommendation may be made available for inspection at the student’s request, pursuant to the Family
and Educational Rights and Privacy Act of 1974 and related laws and regulations.
1. How long have you known this student?
years
months. Under what circumstances?
2. What accomplishments or unusual achievements suggest that this student would benefit from early
admission to the university?
3. Please comment on this student’s general academic ability.
Rev. 02/09/2012
Official High School University Program Recommendation Form (cont.)
4.
Please rate this student on the following:
Outstanding
Above
average
Average
Needs
improving
Ability to work independently
Ability to complete assignments without direct
supervision
Ability to interact on an adult level in the
classroom, e.g., in discussion
Ability to sustain attention in the classroom
(classes are a minimum of 70 minutes)
5.
Please use the space below for any additional comments or notes of concern relevant to this
student’s candidacy for early admission. We are particularly interested in your assessment of his/her
maturity and readiness for university-level work.
6. I
strongly recommend
recommend
admitted to California State University, San Bernardino.
Signature
do not recommend this student be
Date
Print Name
Title
Phone
Please return this form to:
Admissions & Student Recruitment
CSU San Bernardino
5500 University Parkway
San Bernardino, CA 92407
Elaine Sanchez
Rev. 02/09/2012