Counselor Rec Form Student First Name(Required) Student Last Name(Required) School District(Required)Please Select a School DistrictAdult StudentAllegany-LimestoneAndoverBelfastBig PictureBolivar-RichburgCattaraugus-Little ValleyCuba-RushfordEllicottvilleFillmoreFranklinvilleFriendshipGenesee ValleyHinsdaleOlean SchoolsPioneerPortvilleRandolph AcademyRandolphRiseSalamancaScioSpringville GriffithWellsvilleWest ValleyWhitesvilleCTE Program(Required)The following questions are on a scale from 1 (Poor) to 5 (Excellent)Attendance(Required)Rate student from 1-5 on Attendance (Poor: 20+ absences, Excellent: 0-5 absences) 1 2 3 4 5 Verbal Communication Skills(Required)Rate student from 1-5 on Verbal Communication Skills 1 2 3 4 5 Ability to Work Independently(Required)Rate student from 1-5 on Ability to Work Independently 1 2 3 4 5 On Time Assignment Completion(Required)Rate student from 1-5 on On Time Assignment Completion 1 2 3 4 5 Ability to get Along with Peers(Required)Rate student from 1-5 on Ability to get Along with Peers 1 2 3 4 5 Responsibility/Accountability(Required)Rate student from 1-5 on Responsibility/Accountability 1 2 3 4 5 Overall CTE Readiness(Required)Rate student from 1-5 on Overall CTE Readiness 1 2 3 4 5 Ability to Build and Maintain Relationships(Required)Rate student from 1-5 on Ability to Build and Maintain Relationships 1 2 3 4 5 Discipline Referrals(Required)Please enter a number from 0 to 300.How many discipline referrals has the student had from the beginning of 9th grade to present?Please provide any additional information you feel would be helpful to consider in making safe enrollment decisionsStudent Transcript(Required)Accepted file types: pdf, Max. file size: 100 MB.Please upload a copy of the student's transcriptMaximum file size - 100 mega bytes. Δ