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Greetings from Yale-NUS College,

The applicant below has requested that you write a letter of recommendation for admission to the College.
Applicants Full Name: ________________________________________________________ Birth Date: _________________
Applicants School: ______________________________________________________________________________________
Your candid, detailed comments will help us to better know this applicant as a student and a member of the community. Be
assured that we will have in hand details of the students academic record and outside activities and distinctions. You can help us
most by offering observations about the students intellectual capacity, energy, academic performance and contributions to the
learning environment, and qualities as a person and citizen. Specic examples or anecdotes often help us form the most vivid
impressions of candidates. The length of recommendations variesand there is no limitbut we nd that one to two pages is
sufcient in most cases to provide the information we need to make thoughtful evaluations.
Thank you for writing this recommendation. We appreciate the time and effort it takes, so we are especially grateful to you.
Sincerely,
Jeremiah Quinlan
Dean of Admissions & Financial Aid, Yale-NUS College
Applicant Statement
I conrm that I did not write any portion of this recommendation, either in whole or in part, nor have I participated in its drafting
or submission. I understand that it is my responsibility to conrm with my recommender that the letter will be submitted on or
before 1 April 2012.
Applicants Signature: ______________________________________________________________Date: _________________
Recommender Information
Prex: ________________________________________________________________________________________________
Full Name: ____________________________________________________________________________________________
School/Institution: ______________________________________________________________________________________
Position/Title: _________________________________________________________________________________________
Telephone (+country/city code): ___________________________________________________________________________
E-mail: _______________________________________________________________________________________________
Street Address: _________________________________________________________________________________________
City: _________________________________________________________________________________________________
Country: ______________________________________________________________________________________________
Postal Code: ___________________________________________________________________________________________

Recommendation
1 of 3
before
the respective application deadlines for the various rounds of Admissions.
Yale-NUS College Office of Admissions & Financial Aid 6 College Avenue East #B1-01 Singapore 138614
before
the respective application deadlines for the various rounds of admissions.
Nurosidah, Sherlita; DOB: 08/05/1993; Ref: 603906899
Copy
Reference: Mrs. Rahmayati Hanim 01/15/2013 12:10 1/4
Mrs. Sherlita Nurosidah 08/05/1993
Mrs.
Mrs. Rahmayati Hanim
SMAN 2 Jombang
SMAN 2 Jombang
01/15/2013
Advisor, Teacher
(0321)- 861777
rahmayatihanim@gmail.com
Jalan Dr. Wahidin Sudirohusodo No 1 Jombang
Jombang
Indonesia
65415
Academic Achievement
Intellectual Promise
Quality of Writing
Creative, Original Thought
Productive Class Discussion
Respect Accorded by Faculty
Disciplined Work Habits
Maturity
Motivation
Leadership
Integrity
Reaction to Setbacks
Concern for Others
Self-Condence
Initiative, Independence
Overall
Contextual Details
How long and in what context have you known the applicant? ____________________________________________________
What three words would you use to describe the applicant? _______________________________________________________
In which grade level(s) have you taught the applicant? ___________________________________________________________
Please list the courses in which you have taught the applicant, including the level of course difculty (AP, IB, A-Level, etc.).
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Considering students you have taught in this or similar courses, how does this applicant compare in terms of the
listed characteristics?
No Basis Below Average Good Excellent Outstanding Top Ever
Average (top 10%) (top 5%) (top 1%)
Which one or more of the following characteristics would you say contribute most to the applicants academic
success? You may offer additional characteristics below.
Strong work ethic/diligence
Passion for learning
Desire to improve

Curiosity
Exceptional natural intelligence
Other characteristics: _________________________________________________
___________________________________________________________________
___________________________________________________________________
Recommendation

2 of 3
Yale-NUS College Office of Admissions & Financial Aid 6 College Avenue East #B1-01 Singapore 138614
Nurosidah, Sherlita; DOB: 08/05/1993; Ref: 603906899
Copy
Reference: Mrs. Rahmayati Hanim 01/15/2013 12:10 2/4
4 years
Smart, Active, Diligent
11,12
Counselling, student behaviour

Sherlita is a smart student with big interest in every subjects in her


field of study and outside of it. Sherlita always works hard to get the
best achievement.
Are you aware of specic challenges or obstacles that have affected the applicants performance in schoolor
factors that make the applicants accomplishments especially laudable?
Yes (If yes, please explain) No
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Are there any other factors that you feel might affect the applicants performance in college or university?
Yes (If yes, please explain) No
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Recommendation Letter
Please type or paste your recommendation directly into the space provided below, or attach a separate letter of
recommendation to this form if the space below is insufcient.
Recommendation Approval
Recommenders Signature: ________________________________________________________________Date: _________________
Please email this form, together with the transcripts or academic reports, to admissions@yale-nus.edu.sg, or print and fax them to +65 6773 6932.
Alternatively, you can mail this form to: Yale-NUS College
Ofce of Admissions & Financial Aid
University Hall, Lee Kong Chian Wing, UHL #03-01
21 Lower Kent Ridge Road
Singapore 119077
Recommendation

3 of 3
6 College Avenue East, #B1-01
Singapore 138614
Please email this form, together with your recommendation letter (if not inserted above), to admissions@yale-nus.edu.sg, or print and fax them to +65 6773 6932.
Alternatively, you can email this form to:
Yale-NUS College Office of Admissions & Financial Aid 6 College Avenue East #B1-01 Singapore 138614
Please email this form, together with your recommendation letter (if not inserted above), to admissions@yale-nus.edu.sg, or print and fax them to +65 6773 6932.
Alternatively, you can email this form to:
Yale-NUS College
Office of Admissions & Financial Aid
6 College Avenue East
#B1-01
Singapore 138614
Nurosidah, Sherlita; DOB: 08/05/1993; Ref: 603906899
Copy
Reference: Mrs. Rahmayati Hanim 01/15/2013 12:10 3/4

Her accomplishment in high school is very good, most outstanding student. She ever told me that those
because she has a big dream, she wants to be a person who can contribute to his motherland-Indonesia
and makes her family proud of her. She wants to study outside Indonesia to learn more and help people
through around the world.

This is a positive impact, since high school she has built her international character who understand and
tolerant of diversity. I believe if she get in to Yale-NUS College, she can increase her performance
because of the international environment challenged her to be better.
RAHMAYATI HANIM 01/15/2013
TO WHOM IT MAY CONCERN
This letter is concern to Sherlita Nurosidah that is my physics student at Scientific program of Senior High
School Negeri 2 Jombang, Jombang Regency, East Java, Indonesia. Since she is kindly intended to apply the
Yale-NUS College, I do personally encourage and support her to participate the mentioned program. In my
personally observation for three years I know her, she has a good achievement in academic record, as well as a
bright and dynamic student, mature and independent in daily behavior, responsible and tolerant with others.
It has been pointed out in the application form that she has a number experiences within senior high school
student association and youth research community, as well as social and humanity activities in the school and
beyond. The said academic and social activities and experiences show that Sherlita possesses potential
leadership that can be considered to be a nominated participant by the Yale-NUS College.
I am sure that she would obtain much more new knowledge and leadership experiences by taking part to be
Yale-NUS College student. Hence, in one hand, she will be able to improve her personality and professional
establishment for the coming activities and leaderships, and on the other hand she will also be able to inform
and share her valuable knowledge and experiences that gained during study in the Yale-NUS College mainly to
Indonesia.
Honestly, the Senior High School Negeri 2 Jombang will also be proud in the case that Sherlita can be strongly
nominated as one of the Yale-NUS College Student.
Thank you.
Jombang, January 10th 2013
Best regards,
Rahmayati Hanim
Student counselor of Senior High School Negeri 2 Jombang
Jombang Regency 61418, Indonesia
Email. (rahmayatihanim@gmail.com)
Nurosidah, Sherlita; DOB: 08/05/1993; Ref: 603906899
Copy
Reference: Mrs. Rahmayati Hanim 01/15/2013 12:10 4/4

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