PRIMARY COUNSELOR RECOMMENDATION 25-26 PRIMARY COUNSELOR RECOMMENDATION 25-26 Copy link Student's Name * Required First Middle Last Grade Level: * Required2025-2026 Academic YearSchool Name * RequiredTO THE COUNSELOR: The student named above is applying for participation in our Upward Bound Program. Since an application cannot be evaluated until we have received this form, both the student and the Upward Bound Program would appreciate a prompt reply. Please rate the following qualities on a scale of 1 to 5 with 1 being the lowest and 5 being the highest. Select one number per category. Leadership 1 2 3 4 5 Attitude 1 2 3 4 5 Behavior 1 2 3 4 5 Self-Motivation 1 2 3 4 5 Independence 1 2 3 4 5 Academic Ability 1 2 3 4 5 Verbal/Public Speaking 1 2 3 4 5 Citizenship 1 2 3 4 5 Overall, how would you rate this student’s ability to participate successfully in the Upward Bound Program? I strongly recommend I recommend I recommend with reservations Please explain reservations.We would welcome any additional comments you think might be helpful to us. Additional comments may include information about the applicant’s background, the applicant’s attitude towards education; his or her specific strengths and/or weaknesses and other relevant scholastic information.Counselor Name * Required First Last Date * Required MM slash DD slash YYYY This field is hidden when viewing the form Counselor Name Counselor's Signature Date(mm/dd/yyyy) Contact Number * RequiredCounselor Email * Required Upward Bound thanks you for taking the time to provide a thoughtful reference Δ