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    This form must accompany an official copy of your transcript. It must be completed by a college official who has access to your academic record. If the official does not also have access to your disciplinary record, ask a second official.

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    This form must accompany an official copy of your transcript. It must be completed by a college official who has access to your academic record. If the official does not also have access to your disciplinary record, ask a second official.

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    This form must accompany an official copy of your transcript. It must be completed by a college official who has access to your academic record. If the official does not also have access to your disciplinary record, ask a second official.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views2 pages

    Some PDF File

    Uploaded by

    trellon_devteam
    This form must accompany an official copy of your transcript. It must be completed by a college official who has access to your academic record. If the official does not also have access to your disciplinary record, ask a second official.

    Copyright:

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    2010-11 COLLEGE OFFICIAL’S Report OR

    For Spring 2011 or Fall 2011 Enrollment

    TO THE APPLIC ANT


    This form must accompany an official copy of your transcript and must be completed by a college official(s) who has access to your academic record
    and your disciplinary record. Please follow these steps to ensure the form is completed accurately and in its entirety. Step 1: Complete all relevant questions
    below, including the signature statement. Step 2: Give this form to a dean or college official who has access to your academic record and ask that official to com-
    plete the academic portion of this form. Step 3: If the official completing the academic portion does not also have access to your disciplinary record, please ask the
    individual to securely forward the form to a second official who can answer those questions before duplicating this form and mailing it to your colleges along with
    copies of your official transcript(s).
    ✔Female
    Ersoy Pinar
    Legal name ___________________________________________________________________________________________________________________  Male
    Last/Family/Sur (Enter name exactly as it appears on official documents.) First/Given Middle (complete) Jr., etc.

    01/27/1991
    Birth date __________________________________________________________________ - -
    Social Security # _____________________________________
    mm/dd/yyyy (Optional)

    2. Orta Sokak 37/8 Göztepe Istanbul Turkey 34730


    Address ________________________________________________________________________________________________________________________
    Number & Street Apartment # City/Town County or Parish State/Province Country ZIP/Postal Code

    Bahçesehir University
    College/university you now attend ________________________________________________ 0000
    CEEB/ACT code ______________________________________

    Current year courses—please indicate title, level, and credit value of all courses you are taking this year. Indicate quarter classes taken in the same semester on the
    appropriate semester line.
    First Semester/Quarter Grade Second Semester/Quarter Grade Third Quarter Grade
    ________________________________________ ________________________________________ _________________________________________
    ________________________________________ ________________________________________ _________________________________________
    ________________________________________ ________________________________________ _________________________________________
    ________________________________________ ________________________________________ _________________________________________
    How many college credits have you earned prior to this academic year? ________ How many college credits will you earn this academic year? ________

    IMPORTANT PRIVACY NOTE: By signing this form, I authorize all schools that I have attended to release all requested records covered under the Federal
    Educational Rights and Privacy Act (FERPA) so that my application may be reviewed by the Common Application member institution(s) to which I am applying.
    I further authorize the admission officers reviewing my application, including seasonal staff employed for the sole purpose of evaluating applications, to contact
    officials at my current and former schools should they have questions about the school forms submitted on my behalf.
    I understand that under the terms of the FERPA, after I matriculate I will have access to this form and all other recommendations and supporting documents
    submitted by me and on my behalf, unless at least one of the following is true:
    1. The institution does not save recommendations post-matriculation (see list at www.commonapp.org/FERPA).
    2. I waive my right to access below, regardless of the institution to which it is sent:
     Yes, I do waive my right to access, and I understand I will never see this form or any other recommendations submitted by me or on my behalf.
     No, I do not waive my right to access, and I may someday choose to see this form or any other recommendations or supporting documents submitted by me or
    on my behalf to the institution at which I’m enrolling, if that institution saves them after I matriculate.
    Required Signature _______________________________________________________________________________________ Date _________________

    TO THE COLLEGE OFFICIAL


    If you have access to the applicant’s academic record and disciplinary record, please complete this form in its entirety. Attach the applicant’s official transcript (check
    copies for readability). Use both pages to complete your evaluation for this student, and be sure to sign below. If you have access to the applicant’s academic record only,
    please complete the relevant portion of this form, then forward to the appropriate official for completion of the disciplinary questions, asking that official to mail the form
    to the applicant’s colleges after doing so.
    College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________
    Please print or type
    Signature _________________________________________________________________________________________________ Date _____________________
    mm/dd/yyyy
    Bahçesehir University
    Title ___________________________________________________________ College or university _____________________________________________
    Istanbul
    College or university address ______________________________________________________________________________________________________
    Turkey 34353
    City/Town State/Province Country ZIP/Postal Code
    College official’s telephone (_______) ________________________________
    ____ College official’s fax (_______) _____________________________________
    Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.
    0000
    College or university CEEB/ACT code ___________________________ College official’s e-mail ___________________________________________________
    mm/dd/yyyy

    © 2010 The Common Application, Inc. OR-1/ 2010-11


    6680223 Pinar Ersoy
    1
    Background Information

    Cumulative GPA: ________ on a _________ scale, covering a period from ____________ to ____________ School Seal
    (mm/yyyy) (mm/yyyy)

    This GPA is  weighted  unweighted. The school’s passing mark is ________________________________.

    Highest GPA in class ____________________________________ Graduation date ___________________


    (mm/dd/yyyy)

    If you know this student, please indicate for how long and in what context. ____________________________________________________________________

    If you know this student, what are the first words that come to your mind to describe this student? _________________________________________________

    Ratings Compared to other students in his or her class year, how do you rate this student in terms of:
    Very good One of the top few
    Good (above (well above Excellent Outstanding I’ve encountered
    No basis Below average Average average) average) (top 10%) (top 5%) (top 1%)
    Academic achievement
    Extracurricular accomplishments
    Personal qualities and character
    OVERALL

    Evaluation Please provide comments that will help us differentiate this student from others. Feel free to attach an additional sheet or another reference you’ve
    prepared for this student. We especially welcome a broad-based assessment and encourage you to consider describing or addressing:
    • The applicant’s academic, extracurricular, and personal characteristics.
    • Relevant context for the applicant’s performance and involvement, such as particularities of family situation or responsibilities, work obligations, or other
    circumstances, either positive or negative.
    • Observed problematic behaviors, perhaps separable from academic performance, that an admission committee should explore further.

    If you are completing only the questions pertaining to the applicant’s disciplinary record, please provide the following information:
    College official’s name (Mr./Ms./Dr., etc.) _____________________________________________________________________________________________
    Please print or type

    Signature _________________________________________________________________________________________________ Date _____________________


    mm/dd/yyyy

    Title ___________________________________________________________ College official’s e-mail __________________________________________

    College official’s telephone (_______) ________________________________


    ____ College official’s fax (_______) _____________________________________
    Area/Country/City Code Number Ext. Area/Country/City Code Number Ext.
     Is this applicant in good academic standing?  Yes  No
     Is this applicant eligible to return to your school?  Yes  No
    If you answered no to either or both questions, please attach a separate sheet of paper or use your written recommendation to provide details.
     Has the applicant ever been found responsible for a disciplinary violation at your school, whether related to academic misconduct or behavioral misconduct, that
    resulted in the applicant’s probation, suspension, removal, dismissal, or expulsion from your institution?  Yes  No
     To your knowledge, has the applicant ever been convicted of a misdemeanor, felony, or other crime?  Yes  No
    If you answered yes to either or both questions, please attach a separate sheet of paper or use your written recommendation to give the approximate date of each
    incident and explain the circumstances.
     Check here if you would prefer to discuss this applicant over the phone with each admission office.

    I recommend this student:  No basis  With reservation  Fairly strongly  Strongly  Enthusiastically
    © 2010 The Common Application, Inc. OR-2/ 2010-11
    6680223 Pinar Ersoy
    2

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