Last Name: First Name:
Middle Name:

Address: (Street, City, State, Zip)

Proposed Field of Graduate Study:

In accordance with the Family Education Rights and Privace Act of 1974, you have the right to review this recommendation if you enroll in Marywood University. The act also provides that you may waive your right 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 Marywood University. We would appreciate your candid opinion of the applicant.

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 Graduate Admissions Office with other application materials.

	Superior	Above Average	Average	Below Average	Unknown
Intelligence	_____	_____	_____	_____	_____
Initiative	_____	_____	_____	_____	_____
Aptitude for the profession	_____	_____	_____	_____	_____
Emotional stability	_____	_____	_____	_____	_____
Industry	_____	_____	_____	_____	_____
Motivation and perseverance toward goals	_____	_____	_____	_____	_____
Overall potential for graduate study	_____	_____	_____	_____	_____

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

   teacher advisor friend other ____________________.

    

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

What do you consider the applicant's major strengths?

In what areas does the applicant need further development?

Signature: ______________________________ Position: ______________________________

Date: ______________________________ Location: ______________________________