Print Form 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.