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Secondary School Report Form

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Dear School Official,

The student named in this form has applied for admission to The Clarkson School, a special division of Clarkson University. The Clarkson School is an early entrance program that allows talented high school students, who have demonstrated strong academic preparation for college, the opportunity to enter college early.

Clarkson School students are considered fully matriculated first-year students and take challenging college courses with regular University students. They live in a separate residence hall with House Advisors. The living-learning atmosphere requires academic diligence, personal responsibility, and maturity in striving to make a smooth transition toward college life. After The Clarkson School year, some students remain as sophomores at Clarkson University, while others move on to other colleges and universities.

Your full and candid appraisal of this student is an important part of the admission process. Since this is an early entrance program, it is essential that each candidate be evaluated most carefully. Consistent with provisions of the Educational Amendments of 1974, confidential materials used in admission are not subject to disclosure.


The Clarkson School operates on an admission plan that accepts students in several cycles throughout the year. The priority deadline for application submission is June 1. However, the earlier in any academic year an applicant is considered, the more advantageous are his or her chances. Therefore, it is desirable to submit this form as promptly as possible.


Please mail a transcript including the following information:

1. Courses taken, with the years and grades
2. Courses failed or repeated.
3. Courses currently in progress with up-to-date grades.
4. Indication of honors, accelerated, and Advanced Placement (AP) courses or sections.
5. A brief explanation of your grading system and/or school profile.
6. Test results, such as PSAT/SAT and/or PLAN/ACT.
7. Grade point average to date. Please indicate if it is weighted or unweighted.
8. Rank in class.*

*This is an important factor in our evaluation of applicants. Even though we understand it is not common practice to rank juniors, it is crucial that we have the most accurate and precise ranking of this applicant that can be provided at this time. You may provide this information on your school's transcript or in the form provided below.

Mail to:
Director of Admission
The Clarkson School
Clarkson University
PO Box 5650
Potsdam, NY 13699-5650

Student Applicant Information
First Name: Last Name:
Secondary School Name: CEEB Code:
Rank Out of: Number of Students: Applicant's Rank:
If precise rank is not available, indicate the applicant's rank in class as accurately as possible.
Applicant's grade point average is on a point scale that is
Percentage of graduating class immediately attending a:
Four Year Institution: Two Year Institution:

General Ratings
In rating the student below, please remember that he or she will be compared with other very capable students. We recognize that you may not be able to rate with the precision implied in the various headings; use them as rough guides only. You may complete only parts, or none of the section, if you wish.
Category Rating
Academic Motivation:
Academic Self Discipline:
Academic Creativity:
Mathematical Skills:
Science Skills:
Writing Skills:
Self Confidence:
Warmth of Personality:
Disciplined Work Habits:
Concern for Others:
Energy and Initiative:
Reaction to Setback:
Respect Accorded by Peers:
Respect Accorded by Teachers:

Additional Rating Information
Do you have unqualified confidence in the applicant's integrity?
Do you feel that the applicant has sufficient social maturity and personal responsibility to enter an early admission program that provides careful monitoring of individual progress?
Summary and Recommendations
Please write a summary appraisal that assesses the applicant's quality and promise as a Clarkson School student. Feel free to e-mail or mail a letter or duplicated report if you prefer. You may wish to consider the following questions: Has the applicant shown genuine interest in academic work and made good use of his or her intellectual potential? What about the applicant's overall performance and leadership in extracurricular, community or work activities? How would you describe the applicant's character, aims, values and level of responsibility? Are there any special circumstances or background information that should be considered in our decision?
I recommend this applicant to The Clarkson School, in terms of academic ability, maturity, responsibility, and strength of character.

Recommender's Information
Full Name: Title/Position: E-mail Address:
Date: (month , day , year)
Street and PO Box: City:
State: Zip:
County: Country:
Length of time acquainted with applicant:
In what capacity?