Graduate Admission Reference Form
Graduate Degree & Post-Baccalaureate Certificate Applicants
To the Applicant: Print this form. Please complete items A, B, and C below. Deliver this form directly to a person who is able to comment on your qualifications for graduate study. If you already have recommendation letters, they can be substituted for the form.
A. I understand that this recommendation will be used only for admission decisions, and I hereby waive my right of access to this recommendation.
__________________________________________________ Signature of Applicant
__________________________________________________ Date
B. This is a confidential statement concerning (Please print):
__________________________________________________ Applicant Last Name, First Name, Middle Name
__________________________________________________ Social Security Number
__________________________________________________ Program and degree, credential, or certificate sought
C. Person making reference (Please print):
__________________________________________________ Name
__________________________________________________ Title
__________________________________________________ Address
__________________________________________________
__________________________________________________ Telephone Number
To the Person Completing This Form: The student named above has applied for admission to the graduate program at Mills College. We would appreciate a statement from you about the applicant. If you would prefer to write a separate letter, please attach it to this form, complete items F and G on page two. If you do not know the applicant well enough to give a recommendation, check here
D. What is your estimate of the applicant's promise as a graduate student?
E. How long have you known the applicant?:
__________________________________________________
In what capacity?: __________________________________________________
F. Please rate the applicant on the qualities listed below:
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Above Average |
Average |
Below Average |
No Information |
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| Writing Ability |
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| Creativity |
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| Motivation |
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| Academic Preparation |
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| Maturity |
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| Speaking Ability |
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| Ability to Work Well with Others |
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| Self Confidence |
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G. Check one: I strongly recommend recommend recommend with reservations do not recommend
H. I would would not be willing to respond to additional questions by telephone.
I. Additional comments:
Signature:
__________________________________________________ Signature of Person Completing This Form
__________________________________________________ Date
Please mail this form directly to:
Mills College Office of Graduate Studies 5000 MacArthur Boulevard Oakland, CA 94613-1301
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