Letter Of Recommendation printable pdf download

School of Nursing Scholarship

Western Illinois University

School of Nursing

Currens Hall 125

1 University Circle

Macomb, IL 61455

Phone: (309) 298-2571

Fax: (309) 298-3190

Letter of Recommendation

Applicant’s Name: _____________________________________________________________________

I authorize this reference ______________________________________, to complete this referral sheet for a School

of Nursing Scholarship. I understand that the referral sheet will be forwarded to the School of Nursing Office at

Western Illinois University and will be for the private use of the Scholarship Committee. I will not be permitted to

review this reference sheet for any reason.

Applicant Signature: ____________________________________________________________________

Reference: Please complete this form and return it directly to the School of Nursing Office at Western Illinois University

at the address listed above, prior to May 1

deadline. Failure to meet this deadline may jeopardize the applicant’s

opportunity to be considered for this scholarship.

How long have you known the applicant?______________________________________

What is your relationship with the applicant? ___________________________________

Applicant Appraisal

The applicant’s ability to commit and follow through on his/her goals:

( ) Excellent

( ) Good

( ) Fair

( ) Poor

Explain:

How well does the applicant’s past achievements reflect his/her ability to fulfill their

education goals?

( ) Excellent

( ) Good

( ) Fair

( ) Poor

Explain:

What qualities make this applicant a good candidate for this scholarship? (please use the

reserve side if needed)

Additional Comments – Please add any information which you feel might assist the selection

committee.

Your Name: ______________________________________ Title: _______________________________

Address: _________________________________________ Phone: ______________________________

Signature:________________________________________

If you have questions, please contact the School of Nursing Office (309) 298-2571.

Letter Of Recommendation