EmailMeForm
UBMS Application Recommendation
Thank you for assisting with the UMBC UBMS program’s efforts to ascertain the applicant’s suitability for participation in our program. Please address the evaluation categories and use the scale provided to rate the applicant. Your insight on this applicant is appreciated.
Applicant's Name
*
First
Last
Recommender's Name
*
First
Last
Recommender's Email
*
School
*
Recommender's Role
*
Teacher
Counselor
Other
Class(es) you taught applicant if you are a teacher
Evaluate the following characteristics.
*
Poor
Fair
Good
Exceptional
N/A
Academic Ability
Attitude towards school work
Leadership ability
Respect/concern for others
Motivation for success
Respond Yes, No, or Unknown
*
Is there parental involvement?
Please select
Yes
No
Unknown
Has demonstrated a basic understanding of grade level subject matter
Please select
Yes
No
Unknown
Involved in disciplinary action?
Please select
Yes
No
Unknown
Will the student profit from participation in the UBMS Program?
Please select
Yes
No
Unknown
Additional academic evaluations suggested?
Please select
Yes
No
Unknown
Will the student need additional services to be successful?
Please select
Yes
No
Unknown
Please provide any additional comments that you think would assist us in evaluating this student's application.
May we contact you if we would like additional information?
*
Yes
No
Signature
Clear
