WSU - 2004-2005 Graduate Catalog

Letter of Recommendation

Applicant in the Department of Human Services

Identifying Information (Applicant)

Name:

Social Security #

Address

II.

Identifying Information (Informant)

Name:

Business Address:

Professional Title:

Prof. Relationship to Applicant:

Years Acquainted with Applicant:


III.	Evaluate the applicant on the following qualities: (1 is low on the scale; 5 is high, 0 signifies no information; N/A indicates not applicable).

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Initiative
Professionalism
Oral communication
Written communication
Analytical thinking
Creativity
Ability to listen and empathize
Ability to take constructive criticism
Ability to work with people of diverse cultures
Ability to work collaboratively with colleagues
Ability to respect differences
Overall potential for success in graduate school

0
0
0
0
0
0
0
0
0
0
0
0

1
1
1
1
1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4
4
4
4
4

5
5
5
5
5
5
5
5
5
5
5
5

N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A


IV.	Add any information which you may clarify above responses or add insight to this applicant's qualifications. (You may add a letter to this form if you wish.)


	Signature

	Date

Return to:

School of Graduate Studies
Wright State University
E344 Student Union

3640 Col. Glenn Hwy.
Dayton, OH 45435