Summer Programs Abroad| Spain Confidential Adviser’s Recommendation Sergio Carranza Summer in Spain 1/2 The Loomis Chaffee School 3340 81st Street #32 Jackson Heights, NY 11372 Telephone 718.639.1327 Facsimile 646.895.7602 Email summerinspain@gmail.com
Student name _______________________________________________________________
To the student: Please fill in your name above and indicate the program you are applying for and then hand this form to your academic adviser or guidance counselor (or if your school doesn’t have an advising system, please give the form to a teacher who knows you well). Supply the teacher with a stamped envelope addressed to the Summer Programs Abroad office as soon as possible. To the teacher: The student named above is applying to participate in “Summer in Spain” — an intensive five-week language study/ homestay/travel program of The Loomis Chaffee School. The program involves three hours per day of classes in language and culture (offered at different levels to accommodate students from the second year of language study through the fifth year of language study), a four-week homestay (Barcelona) and numerous excursions. Your responses will help us to determine the appropriateness of our program for the student and subsequently will help us to work with and properly place the student. Your answers are held in strict confidence. Please return the form as soon as possible as space is limited and the program is filled on a first-come, first-served basis with qualified applicants. Return the form to the address given at the end of the form.Thank you in advance for your help. We have asked for specific academic information from the applicant’s language teacher and we have also requested a school transcript. On this form we are especially interested in issues of motivation, character and adaptability. 1 How long have you known the applicant? What has been your primary contact with the applicant?
2 What activities and hobbies does the candidate pursue? Describe any school or community activities where the candidate has made notable contributions. How does he or she like to spend free time?
3 Is this the type of person you would enjoy hosting for an extended period? Why or why not?
4 Does the applicant have particular difficulty conforming to reasonable community and school rules? Has the candidate been involved in disciplinary infractions?
Please complete questions on the back of this form.
5 Describe the nature and quality of the applicant’s interactions with students and teachers. (ex. shy, outgoing, a leader, a follower, independent, good listener, arrogant, etc.)
6 What aspects of the applicant’s personality, interests and character should we be aware of when placing the student in a host family? How would you expect the student to interact in a foreign host family?
7 What do you believe to be the primary motivation for the student to participate in this program? Do you believe that the student is able to benefit from and contribute to such a language and culture immersion program?
8 On a scale of 1 (high) to 5 (low), please rate the applicant on each of the criteria below.
_____ _____ _____ _____ _____ _____ _____
Personal integrity Emotional stability Maturity Adaptability Relationship with peer Relationship with adults Tolerance
_____ _____ _____ _____ _____ _____ _____
Concern for others Warmth of personality Conduct and responsibility Self-esteem Punctuality Energy and physical health Self-discipline for academic work
Other remarks ( Attach sheet if needed.)
Name of Adviser
Name of school
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School address ________________________________________________________________________________________________________________ Telephone _______________________________________ Signature ________________________________________
When completed please return directly to:
Date ________________________________________________
Elyse Lau Summer in Spain The Loomis Chaffee School 3340 81st Street #32 Jackson Heights, NY 11372 Telephone 718.639.1327 Facsimile 646.895.7602 Email summerinspain@gmail.com