Faculty Reference Forms (Two Required)

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F
R
F
ACULTY
EFERENCE
ORM
TO BE COMPLETED BY APPLICANT
A Faculty Reference Form must be completed by a current or former ACU professor.
Approve one of the following statements before giving this reference form to your faculty reference to complete.
 I HEREBY WAIVE ANY CLAIM to access faculty reference forms written on behalf of my application.
 I DO NOT WISH TO WAIVE CLAIM to access faculty reference forms written on behalf of my application.
Applicant’s name_____________________________________ Signature_______________________________ Date______________
Study Abroad Program for which you are applying:
Location
Semester or Summer
Year
 Fall
 ACU in Germany
 Spring
 Other (please indicate)_______________________________
 Fall
 ACU in Latin America
 Spring
 Other (please indicate)_______________________________
 Fall
 ACU in Oxford
 Spring
 Other (please indicate)_______________________________
 Other _________________
 ___________________________________________________
TO BE COMPLETED BY FACULTY
How long have you known the student? ____________________________________________________________
Please comment on the applicant’s eagerness to learn and ability to work independently: _______________________
____________________________________________________________________________________________
Of the students I have taught, this one ranks in the top: ___5 percent ____10 percent ____25 percent ___50 percent
 Highly Recommend  Recommend
 Recommend with reservation
 Do not recommend
Assessment
Excellent
Above Average
Adequate
Poor
Unable to Judge
Academic performance
Academic potential
Writing ability
Study habits/discipline
Motivation
Honesty and integrity
Emotional maturity
Self-confidence
Teachability
Adaptability/flexibility
Additional remarks or other issues of which I should be aware: ___________________________________________
____________________________________________________________________________________________
Signature ___________________________________ Print Name _______________________________________
Department________________________________ Extension ____________ Date _________________________
Complete this form and return to: Study Abroad Office, ACU Box 28226 (or drop off in Hardin Admin. Bldg. 124)
OFFICE USE ONLY: Date received ______________________

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