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HABIB PUBLIC SCHOOL

Student Counseling Services


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FORM A

Recommendation Form to give to Counselors* – Students Must Fill This Out

Directions:
1. Use a separate sheet of paper if needed for page 2, 3 & 4 of this form.
2. Type out all answers
3. The more effort you give this form, the better the rec letter should be.
4. *Give one copy of this form to your Counselor and one to the Counseling Office.

Name: _______________________________________________________________________________________
Last Middle First

Date of Birth: _______________________ Parent/Guardian’s Name: ________________________________


(D/M/Y)

Address: _____________________________________________________________________________________
(Line 1)

_____________________________________________________________________________________________
(Line 2)

Student’s Cell Number: ________________________ Date of joining HPS: ________________________

Other School/s Attended: ________________________________________________________________________

AKU / O Level Subjects & Grades:

Subject Year Grade Subject Year Grade Subject Year Grade

English Language

English Literature

Urdu

Mathematics

Islamiat

Pakistan Studies

Page 1
Community Service and/or Volunteer Activity (in order of importance):

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

Extra Curriculars (Societies, Sports, Athletics):

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

________________________________________________________________________________________________
Name of activity Year Dates/Hours per week your title/contribution

Internships/Work Experience (in order of importance):

________________________________________________________________________________________________
Nature of work Year Days/Hours per week your title/contribution

________________________________________________________________________________________________
Nature of work Year Days/Hours per week your title/contribution

________________________________________________________________________________________________
Nature of work Year Days/Hours per week your title/contribution

________________________________________________________________________________________________
Nature of work Year Days/Hours per week your title/contribution

Achievements & Awards (in order of importance):

________________________________________________________________________________________________
Name of Award Year won your position

________________________________________________________________________________________________
Name of Award Year won your position

________________________________________________________________________________________________
Name of Award Year won your position

________________________________________________________________________________________________
Name of Award Year won your position
Page 2
What major/program of study will you pursue in college? (If you are not sure, please write undecided)

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

What career/s are you interested in? (If you are not sure, please write undecided)

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

What do you see as your top three strengths?

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

What do you see as your top three weaknesses?

1. _____________________________________________________________

2. _____________________________________________________________

3. _____________________________________________________________

Can you describe a specific situation where you have demonstrated leadership skills?

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Describe a challenge (academic or personal) that has affected you and how you have tried to overcome it.

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Page 3
Is your academic record an adequate measure of your ability? Why or why not?

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Describe three extra-curricular activities/job experiences/community service activities that have been
particularly meaningful and what you have learnt from each one of them.

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Tell us what you did in the last two summers.

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Is there anything else you would like to share that was not addressed in the previous questions?

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Please sign and date this form and then give it to your Counselor. Do not forget to give a copy to the Counseling Office.

___________________________________________ ________________________________________________
Your signature Date
Page 4

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