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Recommendation Form
Please complete and return this form as instructed in the application packet.
Applicant Information
Applicant name
Program applied for
Phone
Email
Recommender Information
Recommender name
Title / Organization
Phone
Email
Relationship to applicant / how long have you known the applicant?
Recommender signature
Date
Recommendation Evaluation
Please rate the applicant using the scale below. Add comments where appropriate.
| Category | Excellent | Good | Fair | Poor | N/A |
|---|---|---|---|---|---|
| Dependability / attendance | |||||
| Communication skills | |||||
| Professionalism | |||||
| Ability to work with others | |||||
| Judgment / maturity |
Comments
Overall recommendation
Recommend Recommend with reservations Do not recommend
Recommender signature
Date