Middlebury College

Student Information

*First Name
*Last Name
*Language School

Recommender Information

*First Name
*Last Name
*Department or Language Taught
example: 215-555-5555
*Address 1
Address 2
State or Province
Postal Code
*Name of Institution or Organization
Language Schools students pledge to speak only in the target language while enrolled in the program. This may place unusual demands on the academic, physical, and emotional resources of the students. Please indicate your candid evaluation of this applicant.
*Under what circumstances, and for how long, have you known the applicant?
Has the applicant been subject to any disciplinary action at your institution?
(Please answer this question only if the applicant is not an undergraduate enrolled at Middlebury.)

Please provide your assessment of the applicant's ability to succeed an intensive immersion environment.
Please rate the applicant in the areas indicated below.
*Academic Achievement
Optional Comments
Optional Comments
Optional Comments
*Have you instructed this applicant in a foreign language?

If you would like to include an additional letter with this recommendation,
please upload it here:
Disclaimer Agreement