Recommendation Form: Name of Applicant Gender School School Address
Recommendation Form: Name of Applicant Gender School School Address
Recommendation Form: Name of Applicant Gender School School Address
SCHOOL ADDRESS
938 Aurora Blvd., Cubao, Quezon City
The person named above is applying for admission at De La Salle University and you have been requested to
provide a recommendation.
In making the following ratings, please keep in mind that these will be used to compare the student with the other
applicants.
5 4 3 2 1
EXCEPTIONAL SUPERIOR AVERAGE FAIR POOR
INTELLECTUAL ABILITY
STUDY HABITS
MOTIVATION TO PURSUE
COLLEGE STUDIES
POTENTIAL FOR SIGNIFICANT FUTURE
CONTRIBUTION IN THE FIELD
RESOURCEFULNESS
AND INITIATIVE
EMOTIONAL MATURITY
ADAPTABILITY TO NEW SITUATION
LEADERSHIP QUALITIES
The University recognizes that some of its students may have special learning needs (disabilities) or differences
that require learning support. Since it is of great importance to the University that all its students will be
able to work towards the successful completion of their academic requirements, we need your assistance in
answering the following questions to the best of your knowledge:
1. Does the applicant have any physical condition which may affect his/her performance in
college? (Please check)
2. Do you have any behavioral observation of the applicant that may affect his/her academic
performance in college? (Please check)
SIGNATURE
DATE 02/11/2021
Please return this appraisal to the applicant in a sealed envelope, with your signature across the
seal. The applicant will then submit the sealed envelope to the Office of the Admissions and
Scholarships, De La Salle University.
#ThisIsYourStory #PassItOn
/DLSU.Manila.100 /dlsumanila /dlsu /dlsumanila