Kent State University

Student Multicultural Center

Academic STARS Program

Student Recommendation Form

(To be completed by a teacher, guidance counselor or other school administrator)

Name of Applicant: ______

To the Person completing this recommendation:

The student named above has applied for participation in the Kent State University Academic STARS (STudents Achieving and Reaching Success) Program. In consideration of each applicant, emphasis is placed on comments from the person writing the recommendation concerning the applicant’s academic abilities and other attributes. Please complete both sides of this form and supplement it as you feel appropriate. When completed, please return by no later than Tuesday, March 31, 2015 to Mr. Avery Danage, Jr., Program Coordinator RE: Academic S.T.A.R.S. Summer Institute Student Multicultural Center, Kent State University P.O. Box 5190,Kent, Ohio 44242-0001. The form can also be faxed to (330) 672-9399.

The Academic STARS Program is a transition/retention support program designed to enhance the college and life management skills of African American, Latino and Native American freshmen enrolled at Kent State University. It is a 35-week Program, which begins with a five-week summer experience. The Program provides students with an opportunity to earn six credit hours of the college credit. Also, students are introduced to academic and student support services.

If you have any questions regarding the Program, please feel free to call Ms. Shana M. Lee, Director at (330) 672-8582.

Please respond to the following (PLEASE PRINT OR TYPE):

Recommender’s Name: ______

School & District: ______

Telephone Number: (______)______Email address: ______

1. How long have you known the applicant and in what capacity?

2. The Academic STARS program is a rigorous, academic intensive program. Based on this, how would you rate

this applicant’s ability to be successful in the program?

□No basis to answer □ Below average □ Average □ Above Average

3. Please rank this student’s ability to interact with:

No basis to answer / Below average / Average / Above average
Peers
Teachers
Other Adult Authority Figures

Additional Comments:

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4. What are the applicant’s most outstanding abilities or characteristics?

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5. Has the student ever experienced any disciplinary issues in your class/school?

If so, please explain the circumstances.

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6. Given your knowledge of the student, in what areas can the applicant further develop?

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7. Please describe the student using five adjectives:

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8. Using the following scale, how would you rate the student’s academic ability?

No basis to answer / Below average / Average / Above average

9. What impact has this student had on the school they attend? Why should he/she be considered for participation?

10. Please rate the student on the following:

Sensitivity to Others / No basis to answer / Below average / Average / Above average
Leadership Skills
Teamwork
Decision-Making
Study Skills
Problem Solving
Stress Management
Assertiveness
Listening Skills
Self Confidence
Sense of Responsibility
Self-Motivation
Follow through
Ability to follow rules

Overall Recommendation:

I strongly and without reservation recommend this student

I recommend this student

I recommend this student with some reservation.

I feel this student is unsuited for this program

Additional Comments

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Signature: Date: ______

BE CERTAIN TO ATTACH A CURRENT COPY OF YOUR TRANSCRIPT. ALL APPLICATIONS MUST BE POSTMARKED OR RETURNED BY NO LATER THAN March 31, 2015. PLEASE SEND YOUR COMPLETED PACKET

TO:

Mr. Avery Danage, Jr., Program Coordinator

RE: Academic S.T.A.R.S. Summer Institute

Student Multicultural Center, Kent State University

P.O. Box 5190,Kent, Ohio 44242-0001