Graduate Program Recommendation for Admission

Last Name: First Name: Middle Name:

Date of Birth: Email: SS#: (only last 4 digits)

1. How long and in what capacity have you known the applicant?
   

Please rate the applicant with respect to the following qualities:

2. Intellectual Capacity: Breadth of academic and general knowledge
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
3. Industry & Application: Initiative, willingness to work, persistence, and quantity and quality of work produced
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
4. Creativity/Originality: Ability to conceptualize ideas and imagine new solutions to problems and opportunities
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
5. Oral Communication: Ability to present ideas in small groups or formal presentations
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
6. Written Communication: Written expression, skills of clarity, correctness and succinctness
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
7. Interpersonal Skills: Ability to establish and maintain personal and professional relationships
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
8. Leadership Skills: Ability to influence others so that they strive willingly and enthusiastically toward goal achievement
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
9. Analysis: Ability to see the relationships among variables relevant to a situation
   
   Below Average
   Average
   Above Average
   Outstanding
   Unknown
   
   
10. Integrity: Ability to inspire trust, stand on principle and maintain ethical standards in work and relationships
    
    Below Average
    Average
    Above Average
    Outstanding
    Unknown
    
    
11. Energy: Ability to maintain vigor and vitality
    
    Below Average
    Average
    Above Average
    Outstanding
    Unknown
    
    
12. Professional Potential: Commitment to field of study, motivation to achieve
    
    Below Average
    Average
    Above Average
    Outstanding
    Unknown
    
    
13. Overall Endorsement: Indicate your overall endorsement of the applicant
    
    Below Average
    Average
    Above Average
    Outstanding
    Unknown
    
    
14. Comments:
    

Name of Evaluator: Position:
Institution/Agency:

Mailing Address:
City: State: None AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip:

Phone (Day): Email:

Are you the evaluator? Yes