Graduate Programs In Nursing Recommendation Form Page 2
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1
2To The Recommender:
The individual whose name appears above is seeking admission for Graduate Studies in Nursing at Otterbein University. Please be as com-
plete and candid as possible regarding the individual and his/her work. Return this form at your earliest convenience to The Graduate School.
1. I have verified that item #3 on the previous page is correct. ❏
YES
NO
❏
2. How long have you known the applicant?
3. Rating Scale: Rate the applicant in comparison with others applying for graduate studies whom you have known
or successful persons within your own organization. Please rate the candidate on each of the following by circling the
appropriate numbers:
BELOW
NO BA-
SIS FOR
OUTSTANDING
AVERAGE
AVERAGE
EVALUATION
clinical skills
3
2
1
NA
academic ability
3
2
1
NA
reliability
3
2
1
NA
perseverance
3
2
1
NA
motivation
3
2
1
NA
oral communication skills
3
2
1
NA
written communication skills
3
2
1
NA
leadership ability
3
2
1
NA
analytical ability: problem recognition and solution
3
2
1
NA
interpersonal skills
3
2
1
NA
4. What is your appraisal of the applicant’s promise as a graduate student? Please feel free to comment on the ratings you
assigned in item #3 and to make additional statements about the applicant’s accomplishments and potential or personal qualities
which should be taken into consideration when the Graduate Professional Review Committee reviews the applicant’s file.
5. I
❏ strongly recommend
❏ recommend
❏ recommend with reservations
❏ do not recommend
this applicant be admitted for Graduate Studies in Nursing at Otterbein University.
Recommender’s Signature _____________________________________________________________________________________
Recommender’s Name (please print) _____________________________________________________________________________
Title and Credentials _________________________________________________________________ Date ____________________
Organization ________________________________________________________________________________________________
Complete Address ___________________________________________________________________________________________
___________________________________________________________________________________________________________
Telephone Number ___________________________________________________________________________________________
The Graduate School • (614) 823-3210 •
Rev 3/2014
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