Letter Of Recommendation Form - Department Of Counselor Education

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Letter of Recommendation
Department of Counselor Education
Name of Applicant________________________________________________________
Last
First
Middle
Email_______________________________Phone_______________________________
Applicant: Before you give this form to persons acquainted with your qualifications for
admission to the Department of Counselor Education, please fill out the top, check a box below,
and sign, in accordance with the Family Educational Rights and Privacy Act of 1974.
I hereby waive _____ do not waive_____ my right to access of this letter of recommendation.
Applicant Signature
Date
To Writers of Letter of Recommendation:
We are particularly interested in the applicant’s ability to carry on advanced study at the
graduate level and the applicant’s suitability to enter the counseling profession.
Please rate the applicant on each of the following items, using a five point scale.
3: Exceeds Expectations 2: Meets Expectations 1: Below Expectations 0: Unsatisfactory X: Inadequate
knowledge to rate
( ) Academic ability
( ) Motivation and drive
( ) Ability in written expression
( ) Emotional maturity and stability
( ) Ability in oral expression
( ) Self-reliance and independence
( ) Suitability for the counseling field
( ) Ability to work well with others
Any additional comments concerning this applicant, please use a separate sheet.
How long have you known this applicant: _____________________________________
How do you know the applicant:_____________________________________________
Print or type name________________________________Date_____________________
Signature______________________________________
Position____________________________________Phone________________________
Email___________________________________________________________________
Please return this form to the student in a sealed envelope, or mail/fax directly to the Online Program
DEPARTMENT OF COUNSELOR EDUCATION ONLINE PLUS PROGRAM
208 Edgemont Blvd Suite 3160
Alamosa, CO 81101
Fax (719) 587-8421
Phone: (719)-587-8138
Email: ceadmissions@adams.edu

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