Name: __________________________________________________

Semester/year for which you are applying: _______________________

I hereby authorize _______________________________________ to complete this form. Under the provision of the Family Educational Right and Privacy Act of 1974, I waive my right of access to this recommendation.

Yes: ____No: _____  (please check Y/N)

I understand that this document will be used to evaluate my qualifications for the Trinity-in-San Francisco Program and will be part of my application file.

Signature _____________________________

Please assess the student who is named above in terms of his or her potential for success in a satellite program that requires independence and adaptability within an urban setting. If you wish, attach a separate letter that addresses the area outlined below. Thank you for your assistance with this process.

1. How long and in what capacity have you known this student? Please list any course(s) in which you have taught him or her.

2. Please give us your estimate of this applicant's intellectual ability, creativity, and academic motivation.

3. Please give us your estimate of this applicant's emotional maturity and stability. Would he or she act responsibly to a small community and when given independence within and urban environment?

4. On the basis of the applicant's performance, what particular strengths and/or weakness might he or she be expected to display while studying at a small satellite program?

Name of Faculty Member: ________________________________________
Title: ________________________________________________________
Full address: ________________________________________________________________________
Phone: ________________________________________________________
Date: _________________________________________________________