Student Life Transfer Recommendation Form

Transfer Applicant: Complete the first section of this form and forward to the Student Affairs Office of each college you have attended since graduation from high school.

Name: _______________________________Address: ____________________________________

City, State, Zip: _____________________________Phone: ______________SS # ______________

 I authorize (College name) __________________________________________which I attended from

(month/year) __________ to (month/year) ____________to provide the information requested below.

Applicant's signature: ______________________________________ Date: ____________________

Dean of Students: The above named student is applying for transfer to Eastern Mennonite University. Please respond to the following questions and return this form to the EMU Admissions Office as soon as possible; the information will be held in strict confidence. Thank you for your assistance.

The following information is based upon: Records on file Close personal acquaintance Casual contacts & observation

How long has this student attended your institution? 1 yr or less 2 yrs or less 3 yrs or less more than 3 yrs

To your knowledge has the student:  
Yes
 No
Been involved in disruptive or disorderly behavior?  
Been involved in act of dishonesty?  
Demonstrated unsatisfactory adjustment to college or fellow students?  
Experienced any physical or psychiatric concern requiring treatment?  
Been placed on probation of any kind?  

If yes, please explain:

      
Is the student presently in good standing and eligible to return?  

If no, please explain:
Please provide any additional commentary which would assist the Admissions Committee in making a decision.
(Use the back of this paper if necessary)      

 

I recommend this student to Eastern Mennonite University:

 

Not
 Recommended

 

Recommended

 

Strongly
Recommended
For personal promise:
For motivation:
For academic promise:


Signature:___________________________________________________ Date: _________________________

Name: ______________________________ Title: ______________________ Phone: _____________________

Please mail form to: Eastern Mennonite University, Admissions Office, 1200 Park Rd, Harrisonburg, VA 22802