Service Academy Recommendation

This form is to be completed by your high school counselor or principal

Counselors: This form may be returned separately from the student's application to the address below.

High School Performance:

Name of Applicant:

Grade Point Average:        Scale:

Class Rank:        Out of:        Based on:        Semesters

Test Scores:

Only SAT and ACT scores are acceptable. If a test has been taken more than once, the Senator will accept the highest scores. If scores are unavailable at the present time, please forward a copy of test results no later than Friday, December 1, 2006 to the address shown below. No applicant will be considered without test scores.

ACT:
Date Taken -
English -
Math -

SAT:
Date Taken -
English -
Math -

Recommendation of Counselor or other high school official; you may use additional pages:

———————————                ———————————                ———

Name                                                 Signature                                           Date     

You may also get in touch with my Academy Coordinator, Teresa Poole, in my Springfield office:

300 South Jefferson, Suite 401
Springfield, MO 65806

teresa_poole@bond.senate.gov