Florida Southern College printable pdf download

RECOMMENDATION FORM

FFICE OF

DMISSIONS

Florida Southern College

All full-time applicants to Florida Southern College are required to submit a minimum

111 Lake Hollingsworth Drive

of one academic recommendation. This form has been provided as a guide. However,

Lakeland, Florida 33801-5698

if it is more convenient, please feel free to submit a type-written letter.

(863) 680-4131 • Fax (863) 680-4120

Name of Applicant ________________________________________ Social Security Number: __________________

Address: ______________________________________________________________________________________

(

)

City/State/Zip: __________________________________________________ Telephone ______________________

Name of Reference _______________________________________ Title/Position: __________________________

Address: ______________________________________________________________________________________

(

)

City/State/Zip: __________________________________________________ Telephone ______________________

To be completed by applicant:

I hereby grant permission for the release of the information requested on this form to the Office of Admissions,

Florida Southern College (signed) __________________________________________________________________

I hereby waive all rights of access to the information contained on this form and understand that it will be kept confi-

dential between the referee and Florida Southern College (signed) ________________________________________

Dear Reference:

Thank you very much for taking your time to evaluate this candidate’s qualifications for admission to Florida

Southern College. Your recommendation will become a part of his/her admissions file.

You may use this original form or write a personal letter; however, it is not official unless it is mailed to the Office

of Admissions.

1. Your contact with this candidate is/was as a _____ teacher

_____ counselor

_____ employer

_____ coach

_____ other (please describe)________________________

2. Have known candidate for _______ yrs. I know him/her _____ well

_____ fairly well

_____ slightly

3. Please check the degree to which this candidate demonstrates the following qualities:

Above

Below

Do Not

Excellent

Average

Know

A. academic ability

B. academic motivation

C. written expression

D. oral expression

E. energy and initiative

F. independence

G. originality

H. leadership

I. self-confidence

J. warmth of personality

K. sense of humor

L. concern for others

M. reaction to criticism

N. social-emotional maturity

O. adaptability

P. judgment

Q. responsibility

PLEASE COMPLETE BOTH SIDES OF RECOMMENDATION FORM

Florida Southern College

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