RECOMMENDATION FOR GRADUATE ADMISSION

Applicant: please provide all information requested in this top section. Print your name and the last four digits of your social security
number as they appear on your application to insure that this recommendation will be matched with your application file. If you do not
have a social security number, please provide your month and day of birth (mm/dd). Sign on the appropriate line.

____________________________________________________________________________________________________
Applicants Name, Last (Family)

First

Middle

Last 4 digits of Social Security Number

or month and day of birth (mm/dd)

Under the provisions of the Family Education Rights and Privacy Act of 1974, you (if admitted and enrolled) will have access to the
information provided unless you have waived such access. Please sign and date below to inform us of your decision.

I hereby waive my right of access to the information recorded below. OR

I do not waive my right of access to the information recorded below.

_______________________________________________________
Signature of applicant
Date

_______________________________________________________
Signature of applicant
Date

Recommender: the person whose name appears above is applying for admission to a graduate program in the School of Management at the University of
Michigan-Dearborn. Unless the applicant has signed the waiver set out above, he or she has the right of access to and may inspect and review this form
when completed, if the applicant is admitted to and enrolled as a student at the University of Michigan-Dearborn. The Admissions Committee requests your
evaluation of the applicants scholastic aptitude and personal motivation for graduate study.

How well and in what capacity have you known the applicant?

In comparison with other college students you have known, how does this applicant compare with respect to the following
qualities?
Outstanding

Above
Average

Average

Below
Average

Insufficient
Information

Leadership ability

__________

__________

__________

__________

__________

Intellectual ability

__________

__________

__________

__________

__________

Ability in oral expression

__________

__________

__________

__________

__________

Ability in written expression

__________

__________

__________

__________

__________

Ability to work with others

__________

__________

__________

__________

__________

Please make any comments on the applicants academic capabilities, purposefulness, and initiative; particularly as they apply
to a management career dependent on problem-solving and decision-making capabilities.

I understand that the applicant may have access to this information unless the waiver statement on the front of this form has
been signed.
____________________________________________________________________________________________________________
Signature of Recommender
____________________________________________________________________________________________________________
Name of Recommender
____________________________________________________________________________________________________________
Position or Title
____________________________________________________________________________________________________________
Firm or School
____________________________________________________________________________________________________________
Mailing Address
City, State, Zip

Please mail this form directly to the Graduate Program Director, School of Management, University of
Michigan-Dearborn, 19000 Hubbard Drive, Dearborn, MI 48126-2638. Thank you for your assistance.
04-07