This is a printable form. Use the Print button to print and complete it by hand.
Dental Hygiene Recommendation Form
Provide this form to your recommender.
Applicant name
Blinn ID
Applicant phone
Applicant email
Recommender name
Title / organization
Relationship to applicant
How long have you known the applicant?
Recommender signature
Date
Recommendation Evaluation
Please evaluate the applicant in the categories below.
| Category | Excellent | Good | Fair | Poor | N/A |
|---|---|---|---|---|---|
| Communication skills | |||||
| Dependability | |||||
| Professionalism | |||||
| Ability to work with others | |||||
| Maturity / judgment |
Comments
Overall recommendation
Recommend Recommend with reservations Do not recommend