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Secondary School Report Form

Dear School Official,

The student named in this form has applied for admission to The Clarkson School, a special division of Clarkson University. The Clarkson School is an early entrance program that allows talented high school students, who have demonstrated strong academic preparation for college, the opportunity to enter college at the end of their junior year in high school.

Clarkson School students may have demonstrated interests in business, engineering, health sciences, humanities, natural science, physical therapy, or social science. They are considered fully matriculated first-year students and take challenging college courses with regular University students. They live in a residence hall with House Advisors. The living-learning atmosphere requires academic diligence, personal responsibility, and maturity in striving to make a smooth transition toward college life. After The Clarkson School year, some students remain as sophomores at Clarkson University, while others transfer to other colleges and universities.

Your full and candid appraisal of this student is an important part of the admission process. Since this is an early entrance program, it is essential that each candidate be evaluated most carefully. Consistent with provisions of the Educational Amendments of 1974, confidential materials used in admission are not subject to disclosure.


The Clarkson School operates on an admission plan that accepts students in several cycles throughout the year. The deadline for application submission is June 1. However, the earlier in any academic year an applicant is considered, the more advantageous are his or her chances. Therefore, it is desirable to submit this form as promptly as possible.


Please mail a transcript including the following information:

1. Courses taken, with the years and grades
2. Courses failed or repeated.
3. Courses currently in progress with up-to-date grades.
4. Indication of honors, accelerated, and Advanced Placement (AP) courses or sections.
5. A brief explanation of your grading system and/or school profile.
6. Test results, such as PSAT/SAT and/or PLAN/ACT.
7. Grade point average to date. Please indicate if it is weighted or unweighted.
8. Rank in class.*

*This is an important factor in our evaluation of applicants. Even though we understand it is not common practice to rank juniors, it is crucial that we have the most accurate and precise ranking of this applicant that can be provided at this time. You may provide this information on your school's transcript or in the form provided below.

Mail to:
Director of Admission
The Clarkson School
Clarkson University
PO Box 5650
Potsdam, NY 13699-5650

Student Applicant Information
Applicant's grade point average is on a point scale that is

General Ratings
In rating the student below, please remember that he or she will be compared with other very capable students. We recognize that you may not be able to rate with the precision implied in the various headings; use them as rough guides only. You may complete only parts, or none of the section, if you wish.
Category Rating

Additional Rating Information
Summary and Recommendations

Recommender's Information
Date: , ,