Recommendation Form
WVWC's Graduate Counseling Programs: MA in Counseling and Certificate in Addiction Counseling
Recommender Information
Recommender's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization/Institution/Business Name
*
WVWC Grad Admission email
Do not delete, for response email purposes
Applicant Information
Applicant's Name
*
First Name
Last Name
Applicant's Email - your answers will not be shared with the applicant, collecting their email helps us confirm applicant
*
example@example.com
What is your relationship with the applicant?
*
Employer
Professor
Other
How long have you known the applicant?
*
Less than 1 year
1-3 years
4-5 years
More than 5 years
Recommendation Information
All recommendation information will be kept confidential regardless of admissions decision. We appreciate your candor, trust, and time in this process.
In comparison with other individuals you have worked with, supervised, or taught, how do you rate the applicant on the following characteristics?
*
Rows
Below Average
Average
Above Average
Excellent
Unknown
Academic Performance
Intellectual Maturity
Emotional Maturity
Written Communication
Oral Communication
Attendance
Ability to work in groups/teams
Ability to work alone, take initiative
Openminded, out-of-box thinker
Creativity
Empathetic Responses
Positive Attitude
Self-motivated
Submits work/completes tasks on time
Takes responsibility of own actions
Actively participation
How would you describe this individual as a person?
*
How would you describe this individual as a professional?
*
Please indicate the confidence in which you would or would not recommend the applicant for admission to this graduate program?
*
Highly Recommend
Recommend
Recommend with Reservation
Do Not Recommend
Submit
Should be Empty: