PASIG CATHOLIC COLLEGE

High School Department

MALINAO, PASIG CITY
www.pasigcatholic.edu.ph

GUIDANCE COUNSELOR'S RECOMMENDATION FORM

Name of Applicant:
(Write your legal Name: Last Name First Name Middle Name
Name of Birth Certificate)

School: Tel. no.:

To the Applicant: Write your name above. Give this form to your Guidance Counselor. Provide him/her with
an envelope.
To the Person The student whose names appears above is applying for admission in Pasig Catholic
College,
Recommending: High School Department. We appreciate your candid and honest evaluation of the
applicant`s personal assessment, qualities and contribution to your grade school
community. Based on your careful judgment, please fill-out this form completely. After
accomplishing this form, please put it in an envelope, seal and sign across the flap return
to the applicant. Unsealed and unsigned recommendations will not be accepted.
A. Please answer following questions briefly:
1. What characteristics est describes the applicant?

2. Please identify the factors that might interfere with the applicant`s academic and personal relationship
in our school.
Family Relationship Financial Concerns Kindly discuss briefly the applicant`s concern/s.
Peer Pressure Behavioral / Discipline
Boy & Girl Relationship Psychological
Identify Issues Learning Difficulty
Health Concern Others

B. Please check the most appropriate box that corresponds to your rating.
EXCELLENT ABOVE AVERAGE BELOW No basis for
AVERAGE AVERAGE Judgment
Academic Potential
Study Habits
Interpersonal Skills
Leadership Potential
Character and Attitude
Values
Sense of Responsibility
Independence / decision-making ability
Initiative / motivation
Self-Confidence
Concern to others
3. BEHAVIOR IN SCHOOL. Has the student ever been suspended to any disciplinary Yes No
action?
If yes, please indicate the offense.

C. COMMENTS: PLEASE DO NOT LEAVE THIS BLANK Is there anything you wish to say about the
student that is not included here? Your honest evaluation of the applicant will help the committee on
his/her application.

D. OVERALL RECOMMENDATION: DO NOT OMIT THIS PART. Please check one.

STRONGLY RECOMMENDED RECOMMENDED WITH RESERVATION

RECOMMENDED NOT RECOMMENDED

Accomplished by: Position:

Signature: Date Tel. no:
Accomplished:
All responses and recommendations in this form will be kept confidential. Thank you for your assistance.