School Reference Form

SCHOOL Reference Form
Please fill out the following form completely. Note that asterisks () indicate a required field.*
Applicant's Name:*

[GENERAL INFORMATION]

The student's cumulative GPA (on a 4.0 scale) is:*

Student's class rank (for high school students only): out of School does not rank

Description of curriculum: general college preparatory advanced/honors

Of the applicant's class, approximately % plan to attend college; % a four-year college.

Would you nominate this student for financial aid consideration? Yes No

Primary basis:

Financial Need
Academic Merit
Particular Talent Area

[RATINGS]

Please summarize your reference by checking your estimate on the following items (in comparison to peers):*

	excellent	good	average	poor	unknown
Academic Ability
Academic Performance
Ability to Relate to Peers
Cooperativeness
Dependability
Emotional Maturity
Leadership Ability
Motivation
Sense of Humor
Warmth of Personality
Reputation

[RECOMMENDATION CONCERNING ACCEPTANCE]

Highly Recommend

Recommend

Recommend with Reservations

Prefer Not to Recommend

If you would like to discuss this candidate further or refer other students to Milligan, please contact the admissions staff at 800.262.8337 or 423.461.8730, or e-mail admissions@milligan.edu.

Name:*

Title:

Have you taught the applicant in a classroom setting?* Yes No

School:

Address:*

City:*

State:*

Zip:*

Office Phone Number:*

E-mail:*

Are you a Milligan Alumnus?

Yes, Class of