School Report/Counselor Recommendation Form

Student Information

First Name

Middle Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Birthdate

This student is applying to BSC as a:

First-Time Freshman

Transfer Student

Summer Camp Participant

To the Counselor, Dean, or School Official:

The student above has applied to Birmingham-Southern College. Please complete the information requested below. Thank you.

1. Has this student ever been under academic or social discipline?

Yes

No

School Policy Prevents Me From Responding

Please describe this discipline

Does your school rank students?

2. Please provide this student's class rank.

Class Rank

Class Size

2. If your school does not rank students, please indicate the most accurate decile for this student.

Student Decile

3. My recommendation of this student's academic ability can be characterized as:

4. My recommendation of this student's character can be characterized as:

If you would like to provide a copy of this student's high school transcript, please do so here.

If you would like to provide a copy of this student's college transcript, please do so here.

If you would like to provide a letter of recommendation for this student, please do so here.

School Official Contact Information

First Name

Last Name

School Name

School Address

Country

Street

City

Region

Postal Code

Office Telephone

Email