Principal Recommendation Form - Student Name

• Your Name:
  Referral Name
• Your Email:
  Referral Email
• Student Name:
  Student Name
• Parent Name:
  Parent Name
• Current Grade: *
• Do you recommend this student for acceptance into Dallas Lutheran School? *
  Yes   No
• Please explain. *
• Describe any disciplinary issues in which this student has been involved.  *
• To your knowledge, has this student been involved with alcohol, drugs or tobacco? (If yes, please explain.) *
  Yes   No
• Please explain.
• Does this student have any physical, social or emotional limitations? (If yes, please explain.) *
  Yes   No
• Please explain.
• Are these parents active at your school?  *
• If your school is private, does this family meet its school financial responsibilities on time? *
  Yes   No
• Signature: *
  Date: 04/25/2024
• School: *
• Phone #: *

Thank you for your time and effort in completing this evaluation. Please review your answers carefully before submitting the form. Once the form has been submitted it will be sent directly to our admissions office.