Lipscomb University

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: ____________________________________________________

 

 

 

 

***************************************************************************************************

 

 

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:

 

Lipscomb University Global Learning

One University Park Drive

Nashville, TN  37204

 


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:

 

 

 

 

Below Average

Average

Above Average

Very Good

Excellent

No Knowledge

Intellectual Curiosity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Socially Mature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self-Reliant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Emotionally Mature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self-assured

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Articulate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Perceptive

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adaptable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cooperative

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Well-mannered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please add any comments which might clarify your judgements above.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name (please print): _________________________________________________

 

 

Signature: _________________________________________________________

 

 

Phone (including area code): __________________________________________

 

 

Institution/Employer:_________________________________________________

 

 

Date: _____________________________________________________________