Office of Recruitment and Admissions
RECOMMENDATION FORM
Data Privacy Clause: By completing this form, I hereby agree that University of San Carlos may collect, use, disclose, and process my
personal data for the purpose/s of application for admission, scholarship, or enrollment. Requests for inspection, amendment, or restriction
of records must be in writing and addressed to the USC Office of Recruitment and Admissions and must specify the reasons for the request.
USC ORA reserves the right to respond appropriately according to law.
For: Incoming First Year (Senior High School Graduates)
Transferee (applicants who have earned units from another college / university
Note: Incoming First Year applicants need to submit two (2) recommendation forms from their Class Adviser and their Guidance Counselor or
Designate.
Transferees need to submit two (2) recommendation forms from their professor or program chairperson and Guidance Counselor/
Designate of the college they attended.
INSTRUCTIONS:
To the Applicant: A. Please write your name above using ink.
B. Give this form to your guidance counselor or class adviser who knows you well enough
and currently holds a position of authority over you in your present school.
C. You understand that the information provided here will be used for evaluation purposes of
the Department. Hence, it will not be made available to you.
To the Person A. The student whose name appears above is applying to the University of San Carlos, Cebu City.
Recommending: B. We value your candid and honest evaluation of this applicant. Based on your careful judgment,
please fill out this form completely.
C. After filling out this form, please email the filled out form directly to admissions-
apply@usc.edu.ph
D. Countersign erasures and corrections made. All information will be kept confidential. Thank you
for your assistance.
Name of Applicant:
LAST NAME FIRST NAME MIDDLE NAME
Sex: Nationality : Religion:
Grade Level & Track/Strand:
School :
School Address:
BASES FOR RECOMMENDATION
This report is based on: Relationship to the applicant:
Personal contact with the applicant Teacher / Professor
Teacher’s comments Guidance Counselor
Guidance records / test results Research Adviser
Observations of other counselors / teachers Supervisor
Others: Employer
USC - Downtown Campus
P. del Rosario St. Cebu City, Philippines 6000
Email: admissionoff@ us c. edu. ph
www. usc. edu. ph
Office of Recruitment and Admissions
GENERAL EVALUATION
1. How would you rate the applicant in terms of the following characteristics? Please check the most
appropriate box.
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 Situations
Leadership Qualities
Creativity
Critical thinking
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?
NO ( ) YES ( ) If Yes , Please specify: __________________________________________
____________________________________________________________________________
2. Do you have any behavioral observation of the applicant that may affect his/her academic performance in college?
NO ( ) YES ( ) If Yes , Please specify: _____________________
3. Do you have negative observations about the applicant which may help us in evaluating his/her application to the
University?
NO ( ) YES ( ) If Yes , Please specify: ______________________
________________________________________________________________________________________
2. For Guidance Counselors:
Please identify the factors that might interfere with the applicant’s academic / personal relationships.
Family Relationships Financial Concerns
Peer Pressure Behavioral
Romantic Relationship Psychological
Identity Issues Learning Difficulty
USC - Downtown Campus
P. del Rosario St. Cebu City, Philippines 6000
Email: admissionoff@ us c. edu. ph
www. usc. edu. ph
Office of Recruitment and Admissions
OVERALL RECOMMENDATION
Please state reason(s) if recommended with
Strongly Recommended Recommended with Reservation reservation or not recommended:
Recommended Not Recommended
PERSON RECOMMENDING
Printed Name:
Signature:
Date Accomplished:
Contact No.:
Email Address:
Designation / Position / Subject Taught:
Name of School / Employer:
School / Employer Address:
After filling out the form, save this file as a PDF and submit via email thru admissions-apply@usc.edu.ph with subject
as: Recommendation for (Family Name ,Frist Name ofr the applicant: Example: Re: Recommendation – GO
ADM-ADM 09F
Documented Information
April 8, 2024
USC - Downtown Campus
P. del Rosario St. Cebu City, Philippines 6000
Email: admissionoff@ us c. edu. ph
www. usc. edu. ph
