Form 2
SANTA ROSA SCIENCE AND TECHNOLOGY HIGH SCHOOL
LM SUBD., BRGY. MARKET AREA, CITY OF SANTA ROSA, LAGUNA
s •PASSION•COOPERATION•TECHNOVATION
For Principal and Guidance Counselor/ Designate
RECOMMENDATION FORM
PART 1: TO BE COMPLETED BY APPLICANT: Complete the following information and sign the waiver statement before presenting
the form to your referee.
Name of Applicant:
Last name First name Middle name Suffix
School:
Grade Level/ Strand:
PART 2: TO BE COMPLETED BY THE REFEREE: The applicant whose name appears above has applied for admission to Santa
Rosa Science and Technology High School. To assist in the selection process, we ask your help in appraising the applicant by
answering the questions below. Thank you for your time and professional judgment.
1. How long you have known this student and in what context?
2. How many students are in the entire grade level? ___________ 2.1. Number of students in the entire school:
___________
3. Based on quarter, the applicant belongs to the:
Top 10% 20% of class 50% graduating class
4. From your experience, how would you rate this applicant in terms of the following qualities:
Above Below No Chance
Average Average to Observe
Average
Communication Skills
Oral
Written
Leadership
Motivation
Consistency of Performance
Emotional Stability
Mental Ability
5. Has the learner been known to the undersigned as a person of good moral character and has no derogatory records pending or
otherwise with your office?
YES NO
st nd
6. Is the applicant’s average grade in English, Mathematics, and Science during the 1 and 2 quarters 85% and above?
YES NO
st nd
7. Is the applicant’s average grade in minor subjects during the 1 and 2 quarters 83% and above?
YES NO
8. Your honest evaluation of the applicant will help the committee on admission to decide on his/her application (e.g., intellectual
strengths and weaknesses, level of maturity, sense of service in school and community). You may use a separate sheet if
needed.
9. Overall recommendation: Check one and elaborate on your choice within the 'comments' section below.
�I recommend the applicant without reservation.
�I recommend the applicant with reservation because __________________________________________________________
�I do not recommend because ___________________________________________________________________________
Thank you for your valuable time to complete this evaluation. Your reflections are an important part of the application.
__________________________________________________________ _____________________________________________
NAME (PLEASE PRINT) TITLE/POSITION
__________________________________________________________ _____________________________________________
SCHOOL EMAIL ADDRESS AND CONTACT NUMBER
______________________________________________________________________________________________________________________________
MAILING ADDRESS
_________________________________________________________ _____________________________________________
SIGNATURE DATE
Insert the completed form inside the white mailing envelope, seal and sign across the flap.
Return the sealed and signed envelope to the student applicant. Crafted by: Dr. Jayson T. Mallonga
February 07, 2023
