Email Instructions to Recommender: Your name has been provided as a reference by an applicant seeking to enter the Louisiana College MSW program. Your willingness to serve as a recom-mender is greatly appreciated. Our program is seeking individuals with both personal and aca-demic qualities to meet the demands of graduate school and social work practice. Under pro-visions of the Family Education Rights and Privacy Acts of 1974, this applicant (if admitted and enrolled) may have access to the information provided in your letter of reference unless he/she has waived such access on the Recommendation Waiver form, which should be included with this Recommendation Form. Please complete this rating form below. Category of reference: Academic Professional BSW Field Supervisor How long have you know the applicant? what capacity? work volunteer student What do you consider as the applicant’s academic and/or professional strengths and weak-nesses? How will the applicant’s characteristics or qualifications aid/hinder his/her success in social work practice? Please rate the applicant in each of the following areas: 1) Intellectual ability No basis to rate Poor Average Above average 5) Written communication skills No basis to rate Poor Average Above average 9) Flexibility/adaptability No basis to rate Poor Average Above average 13) Creativity No basis to rate Poor Average Above average 17) Leadership skills No basis to rate Poor Average Above average 2) Judgment No basis to rate Poor Average Above average 6) Verbal communication skills No basis to rate Poor Average Above average 10) Self-motivation No basis to rate Poor Average Above average 14) Ability to empathize No basis to rate Poor Average Above average 18) Values & respects diversity No basis to rate Poor Average Above average 3) General knowledge No basis to rate Poor Average Above average 7) Emotional intelligence No basis to rate Poor Average Above average 11) Initiative No basis to rate Poor Average Above average 15) Ability to advocate for self/others No basis to rate Poor Average Above average 19) Overall potential to succeed No basis to rate Poor Average Above average 4) Academic performance No basis to rate Poor Average Above average 8) Stability No basis to rate Poor Average Above average 12) Integrity/honesty No basis to rate Poor Average Above average 16) Ability to work cooperatively with others No basis to rate Poor Average Above average Overall recommendation concerning admission ____highly recommend without reservation ____recommend with reservation ____do not recommend If recommend with reservations or have not recommended, please explain concerns. Electronic Signature * Date * By clicking the submit button, I acknowledge and agree that the above is my legal signature and that the information I am submitting is true and accurate to the best of my knowledge. By clicking the submit button, I acknowledge and agree that the above is my legal signature and that the information I am submitting is true and accurate to the best of my knowledge.
