Request for Transcript and Recommendation

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Request for Transcript and Recommendation
Admissions Office
5500 Wabash Ave
Terre Haute, IN 47803
Phone: 800-248-7448
Email: [email protected]
______________________________________________
Student’s Legal Name*
___________________________________________________
High School*
Address*
______________________________________________________
CEEB
_________________
Counselor Name*_______________________________________________
_________________________________________________________
Title*
________________________________________________________
Email*
Student ranks*______in a class of
______
Do not rank______
Date Student Will Graduate*_________________________________________
Scores:
PSAT
_________________
SAT CR_________________
SAT Math_________________
SAT Writing _________________
ACT Math
_________________
ACT English _________________
It is not necessary to enter scores, but the fields above with the (*) are required
The student in Operation Catapult must have the aptitude to work on complex scientific problems independent
of constant supervision. The student must also be able to cooperate with others as each project is conducted by
a team of two to four students. We hope you'll take this into consideration when filling out this form.
Comment briefly on the student's ability to participate, contribute, and benefit from
Operation Catapult:
Recommender’s Signature_______________________________________ Date________
Please mail or scan and email the Office of Admissions a copy of the applicant's high school transcript as well as
the recommendation. Please send to the address/email found on page 1.
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