NAME OF APPLICANT __________________________________________________
DEGREE PROGRAM DESIRED___________________________________________
Applicant:
The Family Education and Privacy Act of 1974 gives students the right to
inspect letters of recommendation written in support of applicants for admission
or fellowship. The law also permits students to waive that right if they
choose, although such a waiver cannot be a condition of admission or award.
If you wish to waive your right to examine this letter of recommendation,
please sign the waiver below.
I waive my legal right to inspect this letter of recommendation.
Signature _____________________________________ Date______________________
Evaluator: Mark as appropriate; space for comments on back.
1. I know the applicant: ___ very well; ___ moderately well; ___ only slightly
2. Contact with applicant: ___ student in lecture class; ___ student in
laboratory; ___ academic advisor; ___ other (please explain)____________________________________________
3. From the following list of qualifications, please rate all categories
that apply to the candidate.
AMONG PEERS (1 Top 10%, 2 Top 25%, 3 Average,
4 Below Average, 5 Cannot Judge)
General academic abilities (1 2 3 4 5)
Creative thinking (1 2 3 4 5)
Potential for this degree (1 2 3 4 5)
Communication skills (1 2 3 4 5)
Self-motivation/independence (1 2 3 4 5)
Interaction with others (1 2 3 4 5)
Potential as a teaching assistant (1 2 3 4 5)
Potential as a research assistant (1 2 3 4 5)
Comparison with students you (1 2 3 4 5)
have recommended for
graduate school
Performance in undergraduate research (1 2 3 4
5)
Are there any extenuating circumstances or is there any additional information
that we should be aware of in evaluating this applicant?
ADDITIONAL COMMENTS: (strengths/weak points)
Signature ______________________________________ Date ______________________
Printed Name __________________________________ Title _______________________