Recommendation Form
Name of Applicant
Recommender’s Name
Position
Date
Signature
Length of time acquainted with the applicant:
School
School Address
Gender
LAST FIRST MI
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.
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:
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.
1. Does the applicant have any physical condition which may affect his/her performance in college?
2. Do you have any behavioral observation of the applicant that may affect his/her academic performance in college?
3. Do you have negative observations about the applicant which may help us in evaluating his/her application to the University?
If yes, please specify:
If yes, please specify:
If yes, please specify:
YesNo
5
EXCEPTIONAL
4
SUPERIOR
3
AVERAGE
2
FAIR
1
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 SITUATIONS
LEADERSHIP QUALITIES
Yes
Yes
No
No
Version 1.1 2024
Ofce for Admissions and Scholarships
De La Salle University
www.dlsu.edu.ph
