Student Application Recommendation Form

Student Recommendation Form
Applicant, give one copy to an on-campus source (preferably a professor) and one copy to an off-campus source.
I. This section should be completed by the applicant.
Program for which you are applying: ____________________________
Name of applicant: __________________________________________________
Permanent address: _________________________________________________
__________________________________________________________________
Reference requested from (name): ______________________________________
I hereby waive _____ do not waive_____ my right to read this recommendation.
Signature: ________________________________________________
Date: ____________________________________________________
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II. This section should be completed by the person making the recommendation.
1. How long and in what capacity have you known this applicant?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. This student is applying for admission to a study-abroad program of two to three months duration. This program involves a full schedule of demanding academic work, extensive group and individual travel, and living in close contact with other students, faculty, and faculty families. To benefit from this experience, the student must be highly motivated, emotionally mature, easily adaptable, and able to work well with a group and independently. We would appreciate your thoughtful and candid appraisal of this applicant. Feel free to attach an extra page if necessary. Your remarks may be reviewed by the faculty responsible for choosing students for this program and will be held in confidence (the student has indicated above whether he/she chooses to waive the right to read this recommendation). Please return this form to the address below. We appreciate your help. The deadline for receipt of this form is May 1st.
Return form to:
Please indicate the applicant’s competence in the following areas in comparison with other individuals whom you have known at a similar stage in their lives:
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Intellectual Curiosity
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Socially Mature
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Self-Reliant
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Emotionally Mature
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Self-assured
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Articulate
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Perceptive
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Adaptable
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Cooperative
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Well-mannered
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Please add any comments which might clarify your judgements above.
Name (please print): _________________________________________________
Signature: _________________________________________________________
Phone (including area code): __________________________________________
Institution/Employer:_________________________________________________
Date: _____________________________________________________________


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