Professional References for Human Services Graduate Assistantships

Professional References for Human Services Graduate Assistantships

This is the form for individuals providing professional references for applicants to the MS in Human Services Program

Your name Your name * First Last
Email *
Your phone number
Your title
Student applicant's name Student applicant's name * First Last
How long and in what capacity (e.g., supervisor, professor) have you known the student?

PERFORMANCE

Please check the appropriate ratings in the spaces below:
4 = Excellent, 3 = Good, 2 = Average, 1 = Fair, 0 = Unsatisfactory, NA = Not Applicable or Not Observed
	4	3	1	0	NA
Exhibits knowledge of subject matter	Exhibits knowledge of subject matter4	Exhibits knowledge of subject matter3	Exhibits knowledge of subject matter1	Exhibits knowledge of subject matter0	Exhibits knowledge of subject matterNA
Effective in verbal communication	Effective in verbal communication4	Effective in verbal communication3	Effective in verbal communication1	Effective in verbal communication0	Effective in verbal communicationNA
Interacts effectively with others	Interacts effectively with others4	Interacts effectively with others3	Interacts effectively with others1	Interacts effectively with others0	Interacts effectively with othersNA
Displays a positive attitude	Displays a positive attitude4	Displays a positive attitude3	Displays a positive attitude1	Displays a positive attitude0	Displays a positive attitudeNA
Uses practical judgement and common sense	Uses practical judgement and common sense4	Uses practical judgement and common sense3	Uses practical judgement and common sense1	Uses practical judgement and common sense0	Uses practical judgement and common senseNA
Accepts and follows directions	Accepts and follows directions4	Accepts and follows directions3	Accepts and follows directions1	Accepts and follows directions0	Accepts and follows directionsNA
Adapts readily to new situations and responsibilities	Adapts readily to new situations and responsibilities 4	Adapts readily to new situations and responsibilities 3	Adapts readily to new situations and responsibilities 1	Adapts readily to new situations and responsibilities 0	Adapts readily to new situations and responsibilities NA

PROFESSIONALISM

Please check the appropriate ratings in the spaces below:
4 = Excellent, 3 = Good, 2 = Average, 1 = Fair, 0 = Unsatisfactory, NA = Not Applicable or Not Observed
	4	3	1	0	NA
Projects professional image	Projects professional image4	Projects professional image3	Projects professional image1	Projects professional image0	Projects professional imageNA
Demonstrates dependability	Demonstrates dependability4	Demonstrates dependability3	Demonstrates dependability1	Demonstrates dependability0	Demonstrates dependabilityNA
Accepts and utilizes constructive criticism	Accepts and utilizes constructive criticism4	Accepts and utilizes constructive criticism3	Accepts and utilizes constructive criticism1	Accepts and utilizes constructive criticism0	Accepts and utilizes constructive criticismNA
Exhibits dedication to the profession	Exhibits dedication to the profession4	Exhibits dedication to the profession3	Exhibits dedication to the profession1	Exhibits dedication to the profession0	Exhibits dedication to the professionNA

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