Applicant ___________________________________________________________________
                        (last name, first name, middle name)
Under the Federal Law entitled the Family Educational Rights and Privacy Act of 1974 and University guidelines pursuant to that Act, a student has the right to review recommendations made in his or her behalf unless the student waives this right at the time the recommendation is solicited. If you (the applicant) wish to waive your right to review, please so indicate below. If left unsigned, you will have access to this document upon enrollment at the University of New Orleans. The alternative you choose in no way affects our consideration of your application.

I hereby waive my right to review this recommendation. Signed ____________________________________________________________ Date __________________

To Person Making the Evaluation
In what capacity have you known the applicant? ___________________________
How well do you know the applicant? ___ very well ___ moderately well ___ only slightly

Please rate the applicant on the qualities listed below by a check mark, and, if you wish, add comments you believe helpful. For comparison use other individuals at the same level of training.

	Upper 5%	Upper 10%	Upper 25%	Upper 50%	Lower 50%	No basis for judgement
Intellectual Ability
Background preparation
Originality, ability to develop new ideas
Initiative, ability to take independent action
Motivation, ability to apply oneself
Judgement and maturity
Ability to get along with colleagues
Effectiveness of oral communication
Effectiveness of written communication
Facility with laboratory techniques

 

 Potential of the applicant as a graduate teaching assistant or research assistant.

___ Exceptional ___ High ___ Adequate ___ Low ___ No basis for judgement

Recommendation for graduate admission of applicant
___ Strongly Recommend
___ Recommend
___ Recommend with reservations  Comments: _______________________________
___ Do not recommend                      ________________________________________

On a separate sheet or on the back of this sheet you may provide additional comments which assess the applicant’s qualifications and promise as a graduate student.

Signature __________________________________________________ Date: __________________________________

Name: _____________________________________________________ Title: __________________________________

Institution ________________________________________________________________________________________

Address: _________________________________________________________________________________________