of The University of Mississippi
TO BE COMPLETED BY THE APPLICANT
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Applicant's department address:
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(indicate department for which you are applying) Graduate
Coordinator
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Applicant's name:
Last
First
Middle
Social Security number: Date of Birth: &n bsp;
Under the provisions of the Family Educational Rights and Privacy Act of 1974, you may decide whether letters of reference written at your request are to be held confidential or whether they ere to be available for your personal inspection. Check one of the following statements and place your signature in the space provided so that the evaluator will be advised of your choice.
Confidential file. I grant permission for this letter of recommendation to be held confidential by The University of Mississippi.
Open file. I retain the choice of having letters of reference available to me.
&nb sp; &nb sp; Signature of Applicant
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TO BE COMPLETED BY EVALUATOR
You are encouraged to make additional comments by letter. If you wish to do so, please attach your letter to this form so that the department may identify the applicant's choice with respect to the right of access under the Family Educational Rights and Privacy Act.
PLEASE MAIL THIS RECOMMENDATION DIRECTLY TO THE APPLICANTS DEPARTMENT AS NOTED ABOVE.
1. Knowledge of the Applicant:
Approximately how long have you known this
applicant?
How well do you feel you know the applicant? Casually Well
Very Well
What was the nature of your contact(s) with the
applicant?
Teacher
Research Advisor
Major Advisor Employer
Other (specify):
2. Evaluation: In comparison with other students in the same field who have the same amount of experience and training, I rate this person as follows:
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Top |
Top |
Top |
Upper |
Unable |
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General academic ability |
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Knowledge in subject of proposed study |
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Ability to grasp new concepts |
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Originality, intellectual creativity |
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Written expression |
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Oral expression |
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Stability and maturity |
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Perseverance toward goals |
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Motivation for graduate work |
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Potential for successful research |
3. Recommendation: Considering this applicant's academic record, special abilities, ambition, and determination,
please indicate your recommendation:
Recommend strongly Recommend with reservation
Recommend Cannot recommend
4. Please add any comments which you feel will assist in evaluating the applicant's potential to pursue graduate study.
Name of Evaluator (please print):
Signature:
Title: Organization:
PLEASE MAIL THIS FORM DIRECTLY TO THE GRADUATE COORDINATOR OF THE DEPARTMENT TO WHICH THE APPLICANT IS APPLYING. THE ADDRESS HAS BEEN COMPLETED BY THE APPLICANT IN THE BOX PROVIDED ON THE FRONT OF THIS FORM.
The University complies with all applicable laws regarding affirmative action and equal opportunity in all its activities and programs and does not discriminate against anyone protected by law because of age, creed, color, disability, marital status, national origin, pregnancy, race, religion, sex, or status as disabled or Vietnam-era veteran.