Recommendation Form - Michigan Technological University

✔
Interactive
Program of Study_________________________
Michigan Technological University Graduate School
Letter of Recommendation For Graduate School
To Applicant
Fill in your name and the name of the person recommending you. Sign one of the waiver statements below and give this form
(two pages) to the faculty member who is acquainted with you and your academic work. In addition, provide an envelope to the
recommender with your name on it. Please send the completed Letter of Recommendation Forms, along with your application, to
the Graduate School, Michigan Technological University, 1400 Townsend Dr., Houghton, MI 49931.
Name of applicant (print or type) _______________________________________________
Last Name
Program: _____ PhD ____Master’s
First Name
Desired enrollment beginning in the _______________ semester (Fall, Spring, or Summer), of 20_____
Name of recommender _____________________________________________________________
The recommendation will not be considered unless you sign one of the statements below.
The Family Education and Privacy Act of 1974 gives the student the right to inspect letters of recommendation written in support
of the applications for admission or fellowship. The law permits students to waive the right if they choose, although, such a
waiver cannot be a condition of admission or award.
The undersigned hereby waives any right to inspect the
recommendation submitted by the person to whom this
form is being given.
The undersigned, if admitted to graduate study at Michigan
Technological University, reserves the right after
enrollment to inspect the recommendation submitted by the
person to whom this form is being given.
____________________________________
Applicant's signature
Date
____________________________________
Applicant's signature
Date
To Recommender
Please address the 5 questions below, then complete the information at the bottom of the page.
1. In what capacity do you know the applicant? ________________________________________________________________
2. I have known the applicant for ____ years and ____ months.
3. Please evaluate the applicant's abilities in the table below where the educational level of the group you are using for
comparison is:
[ ] Undergraduate seniors [ ] Master’s students [ ] Doctoral students
No basis for
judgment
Fundamental knowledge of
area of study
Experimental techniques
Oral communication
Written communication
Leadership
Imagination and creativity
Self-reliance and
independence
Emotional stability and
maturity
Overall ability to do graduate
level research
Average
Good
(Top 11-25%)
Excellent
(Top 4-10%)
Outstanding
(Top 3%)
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4. Please check one of the options below regarding your overall recommendation for this student to pursue a graduate degree. If
you check (b) or (c), please elaborate in the space provided.
(a) [ ] I recommend the applicant without reservation as an excellent prospect.
(b) [ ] I recommend the applicant with some reservation.
(c) [ ] I cannot recommend the applicant at this time.
5. Please comment on the applicant's suitability for graduate work and potential as a teaching or research assistant. If the
applicant is currently registered in a graduate program at your institution, do you know the reason he or she is changing
institutions? You may use the space below or attach a separate sheet.
Signature ___________________________________
Date _______________________________________
Please return your recommendation directly to the
student in a sealed envelope with your signature across
the back flap.
Name
___________________________________
E-mail
___________________________________
Title
___________________________________
Department
___________________________________
Address
___________________________________
___________________________________
___________________________________