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How long have you known the applicant?
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Are you familiar with the applicant’s scholastic record? Yes ________
No ________
If yes, is the scholastic record an accurate index of the applicant’s academic ability? Yes ______ No ______
Please explain:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Please check the appropriate boxes below that best describe the candidate as compared to other students at the applicant’s level.
SKILL
Outstanding
Excellent
Good
Average
Below Average
No Basis for
Top 2%
Top 5%
Top 25%
Top 50%
Bottom 50%
Judgment
GENERAL ACADEMIC ABILITY (Intelligence;
breadth and depth of academic knowledge)
KNOWLEDGE OF SPECIFIC ACADEMIC AREA
(Mastery of materials in chosen field)
COMMITMENT TO LEARNING (Can self-assess,
self-correct and self-direct; values
continuing education)
INTERPERSONAL SKILLS (Interacts effectively
with people from varied backgrounds)
COMMUNICATION SKILLS (Communicates
effectively by speaking, reading and writing)
PROFESSIONALISM & RESPONSIBILITY (Acts
with professionalism; fulfills commitments;
completes projects)
PROBLEM SOLVING & CRITICAL THINKING
(Recognizes and defines problems; develops
and implements solutions)
USE OF CONSTRUCTIVE FEEDBACK
(Uses feedback for improvement)
EFFECTIVE USE OF TIME & RESOURCES
(Maximizes benefit from minimum
investment of resources)
STRESS MANAGEMENT (Identifies sources of
and copes effectively with stress)
COOPERATION, RAPPORT, SENSITIVITY
(Knows when to be flexible; establishes a
positive climate)
LEADERSHIP CAPABILITIES (Motivates others;
delegates appropriately)

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