E-mail   Print

• Visit MSOE
• Admission Requirements
• Virtual Tour
• Guidance Counselor Form
• Project Lead the Way
• High School Competitions
• Youth Options Program
• VIP Excellence in Teaching Awards
• ASSESS Exam

• Home
• Guidance Counselors and Teachers
• Guidance Counselor Form

Guidance Counselor Form

High School Students

Your school counselor has the option of submitting this electronic recommendation form instead of the printed version.

Applicant Information

Applicant's Name:

 

Applicant's Rank: in a class size of students.

 

Applicant's GPA: on a 4.0 scale (please convert to a 4.0 scale if necessary).
If not a 4.0 scale, please specify the scale:

 

Applicant's Graduation Date: (Example: 5/24/2008)

 

Please describe any unusual circumstances influencing this student's high school record. This is a request for descriptive information, not a recommendation:

 

Counselor Information

Counselor's Name:

 

Official Title:

 

E-mail Address:

 

High School Name:

 

Phone Number:

 

SAT Code Number:

 

Please check here if you would like to discuss this application with a member of the admission committee.

If you would like to keep a copy of this form, please print it before clicking the Send My Request button.

Printing note: We aware that some users have experienced printing difficulty when using older versions of the Internet Explorer Web browser. If you use IE, we recommend upgrading to the current version 7 from Microsoft.

Send My Request