平成
30（
201
8
）年度東京大学外国学校卒業学生特別選考推薦書
（LETTER OF RECOMMENDATION FOR STUDENT AT FOREIGN SCHOOL APPLYING TO THE UNIVERSITY OF TOKYO FOR ADMISSION IN APRIL 2018）出願者氏名（Name of Applicant） 男（Male）
女（Female） 東京大学総長殿（To: The President of The University of Tokyo）
在学期間（Period of Attendance at School）
Year ／ Month ／ Date Year ／ Month ／ Date
生年月日（Date of Birth）
Year ／ Month ／ Date Last（Family） First Middle
∼
↑ 以上は志願者が記入してください。（The above is to be filled in by the applicant.）
↓ 以下は推薦者が記入してください。（The following is to be filled in by the recommender.）
Instructions to the recommender:
1. This recommendation letter is to be prepared by the principal, a teacher, or a guidance counselor at the secondary school from which the applicant has graduated or where the applicant is currently enrolled as a regular student.
2. We would appreciate your frank opinion of the applicant,s scholastic ability, personality / integrity / leadership qualities, and performance in extracurricular activities. If possible, please indicate the estimated rank of the applicant in his/her class and the colleges or universities in your country to which you would recommend the applicant for admission.
3. If necessary, use extra sheets of paper and include them with this sheet.
4. After completing this form, please staple pages together, seal the envelope and sign across the envelope seal. Return the sealed envelope to the applicant.
Scholastic Ability:
Estimated Rank in Class:
Colleges or Universities in your country to which you would recommend this applicant:
Personality／Integrity／Leadership Qualities:
Performance in Extracurricular Activities:
in the top
∼5％
5％∼10％
10％∼20％ 20％∼30％
30％∼40％ 40％∼50％ 50％∼
of all the students in class.
推薦者氏名（Name of Recommender） 職 名（Position or Title）
学校名（Name of Institution）
所在地（Address）
署名・日付（Signature and Date）
Signature Year ／ Month ／ Date
