FALL 2016 RECOMMENDATION FORM

Evening & Weekend MBA Program 2016 Haas School of Business University of California, Berkeley
FALL 2016 RECOMMENDATION FORM
Name of Applicant (print) ________________________________________________________________
Last
First
Middle
NOTE TO APPLICANT
Please complete both the top and the waiver sections of this form even if you do not waive access. Ask
your recommender to enclose the completed form in an envelope, seal it, sign across the seal, and mail the
envelope back to you. Send the envelope with its seal unbroken to the Evening & Weekend Berkeley MBA
Admissions office with the rest of your application materials.
Waiver Section: Applicant to Complete
I understand that federal legislation provides me with a right of access to this recommendation, unless
waived, and that no school or person can require that I waive this right.
I hereby waive □ do not waive □ my right of access to this letter of recommendation.
Applicant’s signature _____________________________________________ Date __________________
Applicant’s name _________________________ Recommender’s name __________________________
NOTE TO RECOMMENDER
The above person is applying for admission to the Evening & Weekend Berkeley MBA Program at the Haas
School of Business. It is important both to applicants and to Berkeley-Haas that we know as much as
possible about the applicant’s potential for further professional advancement and capacity for graduate
business study. We encourage you to be completely candid in your assessment and to provide specific
examples whenever possible. We greatly appreciate your assistance.
At Berkeley-Haas, our distinctive culture is defined by four key principles:
1) Question the status quo; 2) Confidence without attitude; 3) Students always; and, 4) Beyond yourself.
(For more information, please refer to our website, http://www.haas.berkeley.edu/mission/principles)
Please note that federal legislation provides a successful applicant for admissions with access to his or her
admission records, including letters of recommendation. However, an applicant may waive the right to see
letters of recommendation, in which case such letters will be held in confidence. If an applicant has not
waived this right, then it is assumed that this recommendation is submitted with the recommender’s
understanding that the applicant may request to see this recommendation.
After completing this form, please enclose it in an envelope, seal it, sign across the seal, and return it to the
applicant. Your signature across the sealed flap of the envelope ensures the confidentiality of your
assessment. If you wish to send your recommendation directly to the school, please mail it to:
Evening & Weekend Berkeley MBA Admissions
Haas School of Business
430 Student Services Bldg #1906
Berkeley, CA 94720-1906
Evening & Weekend MBA Program 2016 Haas School of Business University of California, Berkeley
Recommender’s name (print) Mr. □ Ms. □ __________________________________________________
Position/Title ________________________________ Company _________________________________
Address _____________________________________________________________ Phone ___________
Email Address (work) ___________________________________________________________________
By checking this box, I certify this recommendation was written entirely by me, using my own words. You
may □ may not □ contact me at work regarding this applicant.
QUESTIONS
Please provide your responses on your company letterhead, but use this form to mark your responses to
questions 1, 9, 11 and 13. We encourage you to provide specific examples wherever possible. It is helpful to
the applicant if you answer the specific questions that we ask.
1. I □ enthusiastically recommend □ recommend □ recommend with reservations □ do not recommend that
this applicant be admitted to the Evening & Weekend Berkeley MBA Program.
2. Please describe your relationship to the applicant. Are you, or have you been, the applicant’s direct
supervisor? If not, what is the nature of your relationship? How long have you known the applicant and
how frequent is/was your interaction with him/her?
3. How does the applicant's performance compare with that of his/her peers? Please give context to who
the applicant’s peers are.
4. How effective are the applicant’s interpersonal skills? How would you describe his/her personality?
5. What are the applicant’s two greatest strengths? Please cite specific examples.
6. What constructive feedback have you offered the candidate in a professional capacity?
7. In the Berkeley MBA program, we develop leaders who embody our distinctive culture’s four key
principles, one of which is “confidence without attitude” or “confidence with humility”. Please comment on
how the applicant reflects this Berkeley-Haas value.
8. Please comment on the applicant’s potential for further professional advancement.
9. How would you rate the applicant’s career progression, using the applicant’s peers as your reference
group? fast □ on track □ slow □ Please explain.
10. Please explain.
Evening & Weekend MBA Program 2016 Haas School of Business University of California, Berkeley
11. Please rate the applicant on the qualities listed below, using the applicant’s peers as your reference
group:
Truly
Exceptional
(top 2%)
Outstanding
(top 10%)
Very
Good (top
20%)
Good
(top
third)
Average
(middle
third)
Below
Average
(bottom
third)
No
Opportunity
to Observe
Interpersonal skills
Ability to work well with others
Verbal communication skills
Written communication skills
Maturity
Professionalism
Initiative
Ability to question the status quo
Self-confidence
Leadership/career potential
12. Please feel free to add any additional comments or to explain your ratings on the grid.
13. Please provide us with your overall impression of the applicant:
Truly exceptional (top 2%)
□
Outstanding (top 10%)
□
Very good (top 20%)
□
Good (top third)
□
Average (middle third)
□
Below average (bottom third)
□
No opportunity to observe
□
By signing below, I certify that this recommendation was written entirely by me using my own words. The
applicant was not involved in crafting this written recommendation.
Recommender’s signature _______________________________________________________________