Cartwright Hall 650 Hilltop Drive



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Kent State University

College of Education, Health, and Human Services

Division of Graduate Studies


Cartwright Hall 650 Hilltop Drive


Kent, OH 44242-0001


Telephone: 330-672-2661

Email: gradapps@kent.edu

Fax: 330-672-6262


Report of the Academic and Professional Abilities of an Applicant for Admission to Graduate Studies in the College of Education, Health, and Human Services




_____Applying for Master's

_____Applying for Ed.S.

_____Applying for Ph.D.

_____Applying for Au.D.

Program area applied for_______________ _______________________________ _________

Name of Applicant_________________________________________________________________ ___________
Report requested of_________________________________________________________________________ _

(Name and Position)

Under the Federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their records, including letters of recommendation. It is your option to waive your right to access to these recommendations or to decline to do so. Please mark the appropriate phrase below, indicating your choice of option, and sign your name:


❑ I waive my right to review of this recommendation

❑ I do not waive my right to review of the recommendation


Applicant’s Signature______________________________________________
Date_____________________________________________ __
(TO BE FILLED IN BY PERSON MAKING RECOMMENDATIONS)
Please provide a statement evaluating the person named above as a graduate student in his/her field. (Attach a letter on letterhead if desired.) Please rate the applicant using the form below.
How long and in what capacity have you known the applicant? __________________________________






Upper 5%

Upper 10%

Upper 25%

Middle 50%

Lower 25%

Not Able to Judge

Intellectual Ability



















General Educational Background



















Imagination and Creativity



















Preparation in Chosen Field



















Interest and Enthusiasm



















Oral and Written Communication Skills



















Interpersonal Relations



















Please indicate your overall endorsement of the applicant by marking the appropriate box below.

❑ Highly Recommended ❑ Recommended ❑ Recommended with Reservation ❑ Not Recommended
Signed____________________________________ Date_______________________________________

Position___________________________________ Address_____________________________________



Letter of Recommendation Form.doc

9/09


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