RECOMMENDATION

The Minot State University Graduate School requires three recommendations for persons applying for admission. Recommendations should be requested from individuals who are familiar with the applicants academic or professional background and who are able to comment on the applicants qualifications for graduate study. Recommender Type: Professional* *Supervisor or Colleague Academic

Applicants Name ________________________________________Phone # _ ______________________ Masters Program to which applicant is applying ______________________________________________
In accordance with the Family Educational Rights and Privacy Act of 1974, you may waive your right to inspect this recommendation by signing the statement below. Should you decide not to waive the right, you will have access to this recommendation only if you admitted and enrolled at Graduate School at Minot State University. I choose to waive my right of access: Yes No

Communication Disorders (Speech Language Pathology) Recommendation Providers, please skip questions 1 through 7. Go directly to question 8. TO THE ACADEMIC REFERENCE: The Graduate School would appreciate a frank judgment from you concerning the applicants qualifications for graduate study. Please apply the rating scale listed below to evaluate the students ability to function in a graduate program: 1 Low, would not function at a graduate level. 2 Below average, doubtful graduate ability. 3 Average, may be able to function at a graduate level, but may need special help. 4 Above average abilities, could function at a graduate if he/she applied himself/herself appropriately. 5 Excellent, no question as to ability. NA Not applicable if you do not have information to make a judgment.
1) Please select the most appropriate number (only one) using the above scale for each criteria. A. Critical thinking (ability to comprehend and make logical deductions from written and oral material) B. Reading ability C. Language usage-oral D. Language usage-written E. Interpersonal skills F. Ability to benefit from criticism G. Knowledge and application of clinical skills H. Dependability I. Academic achievement J. Ability to conduct research K. Intellectual Ability L. Motivation and initiative M. Maturity and stability N. Ability to work independently O. Breadth of undergraduate knowledge P. Creativity Q. Clarity of goals for Graduate Study R. Overall potential for Graduate Study Low 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Average 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 Excellent 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA

2) Master of Science in Management Professional Recommendation Providers ONLY please complete this additional section. Please circle the most appropriate number (only one) using the above scale for each criteria. A. Computer competence B. Ability to work in a group C. Ability to lead a group D. Potential for senior level positions E. Ability to analyze and solve problems F. Oral communications G. Written communications H. Learns from experience I. Innovation J. Professional integrity K. Professional commitment Low 1 1 1 1 1 1 1 1 1 1 1 Average 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 Excellent 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 NA NA NA NA NA NA NA NA NA NA NA NA

3) ATTENTION: Master of Science in Information Systems Professional Recommendation Providers ONLY please complete this additional section. Please circle the most appropriate number (only one) using the above scale for each criteria. A. Analytical ability B. Quantitative ability C. Command of field of study D. Ability to lead a group E. Ability to work in a group F. Project Management G. Learns from experience H. Technical depth/proficiency I. Requirements analysis and specification skills J. Application & Implementation skills K. Documentation skills Low 1 1 1 1 1 1 1 1 1 1 1 Average 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 Excellent 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 4 5 NA NA NA NA NA NA NA NA NA NA NA NA

4) How long have you known this applicant and in what capacity (e.g., faculty, advising, academic administration)?

5) Please describe the particular strengths and weaknesses of this applicant. Also describe any special talents or experience. If you cannot find anything to say, please give the applicants strongest trait and weakest trait.

6) If you have worked with or supervised this applicant on a project, please describe the project and give an evaluation of the applicants performance.

7) Would you recommend this applicant for a Graduate Teaching Assistantship and/or Graduate Research Assistantship? Why or why not?

8) COMMUNICATION DISORDERSSPEECH-LANGUAGE PATHOLOGY (ONLY) The Graduate School would appreciate a frank judgment from you concerning the applicants qualifications for graduate study. Please apply the rating scale listed below to evaluate the applicants ability to function in a graduate program. 1 Low, would not function at a graduate level. 2 Below average, doubtful graduate ability. 3 Average, may be able to function at a graduate level, but may need special help. 4 Above average abilities, could function at a graduate level if he/she applied himself/herself appropriately. 5 Excellent, no question as to ability NA Not applicable if you do not have information to make a judgment Please select the most appropriate number (only one) using the above Low Maturity and Stability 1 Professionalism 1 Organization 1 Potential as a Graduate Student in Speech-Language Pathology 1 Overall Strength of Recommendation 1 scale for each criteria. Average Excellent 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 NA NA NA NA NA NA

9) Check only one (ALL RECOMMENDERS): ___I ___I ___I ___I recommend without reservation recommend recommend with reservation do not recommend

Recommenders Printed Name _______________________________ Date ________________________________ Recommenders Signature __________________________________ Date ________________________________
*Please type your name in the signature line. The submission of this form is consent of an electronic signature.

Position/Title _______________________________________________Institution ___________________________ Address ___________________________________________________Contact Phone #_______________________