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Clarkson University Graduate Reference Form

This document is a graduate school reference form for Clarkson University. It requests information from both the applicant and referee. The applicant provides their name and consent to waive their right to view the recommendation. The referee then rates the applicant's qualities like motivation, aptitude, and skills on a scale and provides details on how they know the applicant as well as any additional comments. The form is then mailed to the appropriate graduate school based on the applicant's intended program of study.

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Sahil Bhouraskar
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6 views1 page

Clarkson University Graduate Reference Form

This document is a graduate school reference form for Clarkson University. It requests information from both the applicant and referee. The applicant provides their name and consent to waive their right to view the recommendation. The referee then rates the applicant's qualities like motivation, aptitude, and skills on a scale and provides details on how they know the applicant as well as any additional comments. The form is then mailed to the appropriate graduate school based on the applicant's intended program of study.

Uploaded by

Sahil Bhouraskar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Graduate School Reference Form

Clarkson University
Applicant: Complete the following
Applicant Name (PRINT) _________________________________________________________________________________________________
I do do not agree to waive my right under The Family Education Rights and Privacy Act of 1974 to review specific and composite letters of
recommendation.
Applicant Signature ________________________________________________________________________Date _________________________
Please check the Graduate school for which you are applying:

School of Arts & Sciences School of Business School of Engineering


Division of Health Sciences Interdisciplinary Programs

Please print the program you are applying to before submitting to your referee: __________________________________________________

Referee: Please check the box that best describes the applicant.

Quality

Superior

Above
Average

Average

Below
Average

Inadequate
Opportunity
to Observe

N/A

Motivation/Initiative for Proposed Program


Aptitude in Major Field
Potential as a Researcher
Potential as a Teacher
Analytical Ability
Creativity
Perseverance
Teamwork Skills
Dependability
Maturity
Accuracy and Preciseness of Work
Oral Expression/Presentation
Written Expression
I have known the applicant for ________ years. In what capacity? ______________________________________________________________
For further comments, please use the space below or submit an additional letter.

Referee Name _______________________________________________ Phone ________________ E-mail ____________________________


Mailing Address ______________________________________________________________________________________________________
Referee Signature _________________________________________________ Position _____________________________________________
College/Employer/other ___________________________________________________________________ Date _________________________
Please mail directly to the appropriate school:
School of Arts & Sciences*
Graduate Studies
Clarkson University
P.O. Box 5802
Potsdam, NY 13699

School of Business
Graduate Programs
Clarkson University
P.O. Box 5770
Potsdam, NY 13699

School of Engineering
Graduate Studies
Clarkson University
P.O. Box 5625
Potsdam, NY 13699

*Includes Interdisciplinary programs


An Equal Oppor tunity/A ffirmative Action Educati on Instit ution

Division of Health Sciences


Clarkson University
P.O. Box 5880
Potsdam, NY 13699

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