Recommendation Form

I Want A Recommendation from Mr. Siegel…


Colleges want to hear about some of the following topics when I write my recommendation.  Please choose 2 or three (or more) of them to write about. Please explain how you exhibited these traits in my class. Please use specific examples. After you do this, we will talk about whether I am the right person to write your recommendation.  Email your responses to me at

 Intellectual Prowess

  1. Maturity
  2. Motivation
  3. Consistency of Performance
  4. Independence
  5. Originality
  6. Initiative
  7. Leadership potential
  8. Self Confidence
  9. Capacity for personal growth (ex.: open mindedness to different people.)
  10. Enthusiasm
  11. Energy
  12. Ability to communicate
  13. Special talent/Unique quality
  14. Peer Relationships
  15. Reaction to setbacks


Once we agree that I am writing  your recommendation, please read and complete the following.

Circle one of the following:

                 1.   I definitely will be applying early to a school.

                 2.  I am not sure if I will be applying early to a school.

                 3.  I definitely will not be applying early to a school.

Note: For those who circled 2, I will assume that you are 
NOT applying early until you inform me via a list of college dealine dates or via email.

A list of deadline dates are due 
AT LEAST one month prior to your earliest deadline date.

Email Address: ___________________________