Last Name:
First Name:
Middle Name:

Address: (Street, City, State, Zip)

The Family Education Rights and Privace Act of 1974 provides for confidentiality of materials submitted in an application for admission. It further provides that you may waive your right to review this recommendation, if it is retained as part of a student record, by signing the statement below.

I hearby waive, do not waive my right of access to this recommendation.

Signature _______________________________________ Date __________

Recommender:
The applicant named above has applied for admission to the School of Social Work at Marywood University. We would appreciate your candid opinion of the applicant. Reference letters in an application for admission are confidential. It is the policy of the School of Social Work to destroy references when the Admissions Committee has acted on the application.

When you have completed the recommendation please initial each of the pages and return this form to the applicant in a sealed envelope, with your signature overlapping the sealed flap. The applicant will return the sealed envelope to the school with other application materials.

	Superior	Above Average	Average	Below Average	Unknown
Intellectual ability	_____	_____	_____	_____	_____
Emotional stability	_____	_____	_____	_____	_____
Industry	_____	_____	_____	_____	_____
Motivation and perseverance toward goals	_____	_____	_____	_____	_____
Ability to express ideas and feelings	_____	_____	_____	_____	_____
Ability to accept constructive criticism	_____	_____	_____	_____	_____

	Superior	Above Average	Average	Below Average	Unknown
Ability to respect differences (e.g. race, class) in other people	_____	_____	_____	_____	_____
Flexibility	_____	_____	_____	_____	_____
Sensitivity	_____	_____	_____	_____	_____
Concern for others	_____	_____	_____	_____	_____
Initiative	_____	_____	_____	_____	_____
Overall potential for graduate study	_____	_____	_____	_____	_____
Aptitude for the profession	_____	_____	_____	_____	_____

1. I have known the candidate for _______________ (time) in the capacity of:

   teacher adviser supervisor friend other ____________________.

    

2. In evaluating this candidate, I am making comparison with this reference group.

   ____________________________________________________________

    

3. I endorse the applicant:
   enthusiastically with moderation reluctantly.

Perceptive letters of recommendation are difficult to prepare. Many of the letters we receive are not particularly helpful since they only praise the applicant's past achievement and predict future success. What we need from you is an emphasis on the unique qualities of this applicant.

What do you consider the applicant's major strengths for the practice of social work?

In what areas does the applicant need further development?

The Admissions staff selects references at random for verification for authenticity. If you are selected, you will be contacted by telephone.

Signature: ______________________________
Position: ______________________________

You may substitute completing the following information by attaching a business card if desired:

Name (printed or typed): ______________________________

Place of Employment: ______________________________

Date: ______________________________
Telephone number: ______________________________