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 ______________________