Woodstock Academy                                                                   

Counseling Office

 

STUDENT FEEDBACK INFORMATION

PEER REFERENCE

 

Applicant Instructions: After filling out the first two lines please give this form to a close friend (someone of your choosing and approximate age). Please ask him/her to complete this feedback form and return it to the Counseling Office ASAP.

 

Name: ___________________________________________________

Guidance Counselor: (circle one)           B          C         G         R          S         

 

Peer Instructions: Your feedback on this student will assist their counselor in writing a recommendation for the student. Please return this form to the Guidance Office ASAP. 

 

Peer’s Name: _________________________________________    Grade: _______________

 

How long have you known the student? ___________________________________________________ ____________________________________________________________________________________

 

What are the first words that come to mind when describing this student? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please comment on the student’s personal qualifications for college. What can you tell me about his/her interests? Maturity? Potential for adjustment to college? I welcome any comments you feel would be relevant.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature: ________________________________                Date: _________________