Recommendations: Student Self-Assessment

To ensure admission to top-ranked universities and other good universities, strong recommendation letters from your
teachers and counselors are one of the major prerequisites. All grade XII students applying to universities abroad are
required to fill out this Self-Assessment Form and submit it to their Primary counselors by August 20th, 2022. Students
who will be applying to US universities on early action/decision should aim to submit it earlier. Your answers to the
questions on this form will assist your teachers in writing your recommendation letters, and submitting this form on time
will ensure that your counselor can get you outstanding recommendation letters in good time, and also tailor your advising
to your specific higher education’s goals.
The more specific details you can give us, the more thorough your college recommendation letters will be. Working
thoughtfully on this form will also help you with the entire college application process, especially in preparing for
interviews and writing admission essays. Expect to spend at least 2 hours on this task, which should result in a document
of three to five pages.
Fill out the form below and send it to the concerned UPS office:
1. mariam_haque@scholasticabd.com , anika_sarwer@scholasticabd.com,
rahima_ali@scholasticabd.com -SRU
2. sohrab_siddiqui@scholasticabd.com, silvia_rouf@scholasticabd.com-SRM
Self-Assessment Form:
Name: ______________________ Class: ______ Section: _________ Student ID: ______________
Date: __________Contact Number: ______________ Email: ______________________________

Your Academic Performance/ History

1. Describe the academic accomplishment (major paper, science experiment and/or artistic project) you are most proud
of, and explain why you take pride in it. Describe in detail the preparation you undertook, the particular tasks you
executed and the outcomes you achieved.
2. What kind of learner are you? Provide examples that show how you learn and that demonstrate your academic
strengths. For example, describe academic settings or assignments in which you thrived and demonstrated academic
strengths such as analytical skills, creativity, complex problem solving, communication skills, critical thinking, etc.
3. What interests you academically? Explain with an anecdote. Try to be specific and detailed.
Your Personal and Social Qualities, and Involvement in School
4. Extra-curricular activities: List the activities in which you have participated, the number of years and the amount of
time per week you spent, and what you have accomplished and learned from each activity. Consider literary, community
service, leadership positions, after-school programs, school events and groups, jobs, internships, paid or voluntary;
hobbies; sports; travel; music; art; and drama. Use the table template below to present your list. The activities described
are meant purely as examples to guide you to write your own list comprehensively.

Name of Achieving Year Describe activity, include accomplishments, awards and recognition
activity/organization and Class received and skills learnt
and description of
position/leadership
 -Led a team of 30 students to host 2 interschool Model UN Conferences
e.g. Scholastica Model
-Grew Model UN’s membership from 30 students to 60 students during my
United Nations, XI(2017) – 4hrs/wk
term as Secretary General.
Secretary General
-Won Best Delegate award at the annual national conference held in Dhaka
(2017 – 2018)
-Developed organizational and leadership skills
XI(2016)–5hrs/wk -Participated in the annual school drama for 3 consecutive years
X(2015) – 2hrs/wk -Played lead roles for two years in our annual school drama
e.g. Theater Club
IX(2014) – (Summer - Co-wrote a script, and coordinated a team of student directors, actors and
break, 1 hr/wk) camera assistants to produce a comedy.

5. What activity was most important to you? How did it inspire you so much that it became important? Describe your
experience and the impact it had on you.
6. Mention at least 2 of your school contributions that you are most proud of. Describe what you did, why you did it, what
you learned and why you are proud of it. Try to be specific. Describe what impact your contribution had on the school or
your fellow students.
7. List your three most distinguishing or most admirable personal qualities. Explain with examples why you think they
are your best qualities and provide examples of how those qualities manifest themselves.
8. What are your personal passions and interests? How do you pursue these interests, in school or outside school? How
do you plan to pursue them in the coming years?

Inform Your Recommenders about your University Plan

9. Please provide your teacher and counselor a list of universities and subject(s) you will be applying to, along with
deadlines and any appropriate forms. (In a separate page)
Country University Application process & requirements, Deadline Intended major & O level
/ College admission criteria & requirements for scholarship Scope: Subjects
applying Provide Link (if any) & Grades
1. Stanford Application requirements: Common App – SAT, Nov 1 – Management Science &
US University 2 teacher recommendations, $90 application Early Engineering – background
fee. action to work in project
Admission requirements: Need-aware Jan 2 – management at tech
admissions, 1450 median SAT score, admission Regular companies and startups
criteria includes leadership skills and decision
intellectual potential . . .
2
3
4
5
6
7
8
9
10

Academic and Career Plans

10. What do you want to study in University? Why do you think it’s the best match for you?
11. What careers most interest you at this time? Why are they interesting to you?
12. How do you plan to contribute to your university’s community? Think about your unique skills and talents that would
be meaningful and attractive to a university.
13. Consult with 2 of your subject teachers from whom you want to get your recommendation letters. Write down their
names:

a) Teacher 1
i. How does this teacher know you and for how long? Why do you think he/she would write a good
recommendation letter for you?
ii. Describe one or more interactions you have had with this teacher in which you've demonstrated
remarkable personal qualities.

b) Teacher 2
i. How does this teacher know you and for how long? Why do you think he/she would write a good
recommendation letter for you?
ii. Describe one or more interactions you have had with this teacher in which you've demonstrated some
remarkable personal qualities
14. Please mention the subjects for which you are enrolled for in Class XII and the names of the teacher’s current
teaching you in Class XII

SUBJECTS TEACHER NAME

1.
2.
3.
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5.
6.

15. What are you AS Level Grades?

SUBJECTS AS LEVEL GRADES

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