Graduate School Recommendation Form

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Name

Prefix

First Name

Middle Name

Last Name

Suffix

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone

Agreement Statements

I agree to respect the confidentiality of the evaluation and specifically waive any right of access under the Family Educational Rights and Privacy Act of 1974 as amended.

I do not waive any rights that I might have to examine this evaluation.

Applicant Signature*By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Date*

PART I. Recommenders: Compare applicant with a representative group with similar experience and training

Intellectual ability

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Ability to work independently

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Ability to work with others

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Analytical skills

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Perseverance in pursuing goals

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Emotional maturity

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Oral communication

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Written communication

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Ability to accept feedback

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Leadership Potential

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Integrity

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

Research ability and potential

Outstanding Upper 5 %

Very Good Highest 10 %

Good Upper 25%

Average Upper 50 %

Below Average Lower 50%

Did not observe/NA

PART II. Recommender:

Provide additional comments including any strength or weaknesses that should be considered in evaluation of the candidate below (you may also attach separate letter)

Summary

Recommend Highly

Recommend

Recommend with Reservations

Do Not Recommend

Name of Recommender

Prefix

First Name

Middle Name

Last Name

Suffix

Title/Position of Recommender:

Affiliation of Recommender:

Signature of RecommenderBy signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

Date of Recommender Signature

Phone of Recommender

Graduate School Recommendation Form

Submit recommendations to: The Graduate School, BCBB 389 Albany State University , 504 College Drive Albany, GA 31705