Academic Reference

Prospective Student Information

Applicant's Name: *

Referrer Information

First Name: *

Last Name: *

Position: *

Address Line 1: *

Address Line 2:

City: *

State: *

Zip Code: *

Email Address: *

Day Phone:

Regarding the Prospective Student

Please indicate how long and in what type of academic setting you have known the applicant:

Please rate the applicant for each of the following characteristics.

Perseverance and motivation in an academic setting:

General academic and intellectual ability:

Intellectual curiousity:

Ability to write and do research effectively at a graduate level:

Academic ability to do graduate-level study:

Please indicate how you have seen the applicant respond to challenging material:

Please provide a brief statement of strengths the applicant would bring to a degree program:

Overall recommendation of applicant:

Additional comments that may be helpful to the admissions committee:

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