Letter of Recommendation Questionnaire
Name:
Date Due:
Recipients
Email/Address,
Name/Title
1.
Letter requested is for college admission.
2.
Letter requested is for college scholarship.
3.
Letter requested is for the FL Prep Academic
scholarship.
4.
I have never fallen below an 80% this class.
5.
I consistently turn in homework and classwork on time.
6.
I actively participate in classroom discussions.
7.
I do not operate my cell phone or any other electronic
device(s) during class lectures unless I’ve been
instructed to do so.
8.
I have never been caught cheating in this class.
9.
I always turn in assignments on time or make
arrangements when extenuating circumstances arise.
10.
I ask questions or seek help when I don’t understand
something in class.
11.
I believe that any or all of my teachers would write me a
letter of recommendation if I asked.
strongly
disagree
disagree
uncertain/
not applicable
agree
strongly agree
Please complete the following questionnaire with specific regard to the
letter of recommendation requested, by placing a CROSS in the appropriate box.
This questionnaire must be completed in its entirety and handed back to me at least
7 days before the letter is due.
Please answer the following questions. The more detail you can provide, the stronger the
recommendation letter will be.
1. List any after school activties you participate(d) in at the school. This would include sports,
clubs, honor society, leadership school ect. Also include the approximate start/stop date.If
you are still involved then put the date through the present.
2. Name your 3 best strengths as a student.
a.
b.
c.
3. Name your 3 best strengths as a human being.
a.
b.
c.
4. Name your 3 biggest weaknesses (it could be as a student, human, or both).
a.
b.
c.
5. Name 3 adjectives that describe your personality most accurately.
a.
b.
c.
6. List any academic awards and recognitions you have received and when.
7. What is your favorite subject in school?
8. I declared a major
TELL ME ABOUT YOU!
What are your favorite subjects and why?
Do you have brothers and/or sisters? Tell me about them (number of brothers/sisters, ages, college plans, etc.)
Do you get along well?
Are there any obstacles or struggles you’ve had to overcome in your high school career?
How have you grown or changed in these past three years?
Tell me two or three adjectives others would use to describe yourself and why. Do they differ from words you
would use to describe yourself? How?
ANYTHING ELSE?
Is there anything special or unusual about your circumstances which I should know? Is there anything which
should be explained or clarified by me in order to improve your chances for admission to the school of your
choice?