LETTER
OF
RECOMMENDATION
Graduate Nursing
Program
PART I – TO BE COMPLETED BY APPLICANT
NAME OF APPLICANT_____________________________________________________________________________________
PROPOSED ROLE FOR GRADUATE STUDY
MSN - Nurse Educator PhD DNP
MSN - Healthcare Administrator MSN - Nurse Practitioner (specify) _______________________________
MSN - Nurse Anesthetist Postmaster’s (specify) __________________________________________
NAME OF PE
RSON COMPLETING REFERENCE _______________________________________________________________
I DO I DO NOT wish to waive my right of access to this letter of recommendation as conferred by the Family Educational
Rights and Privacy Act of 1974.
Signature of Applicant
PART II – PERFORMANCE RATING
Please rate the applicant in comparison with other students/employees whom you have known in recent years.
Characteristic
Unable to
Judge
Below
Average
Average
Above
Average
Outstanding
Academic/Scholarly Performance
Motivation/Commitment to Profession
Analytical Thinking/Potential
Research Ability/Potential
Expressive Communication: Oral
Expressive Communication: Written
Leadership Ability/Potential
Ability to Work Independently
How do you rank the student among other students in the field? Top 5% Top 10% Top 25% Other ________