University of Wisconsin-Stout
Masters of Science in Applied Psychology (MSAP)
Candidate Recommendation Form
Recommendation for:
________________________________________________
The person named above is applying for the M.S. Program in Applied Psychology at UW-Stout. This
recommendation will be used for selection purposes of the applicants to this program.
How long have you know this candidate?
How well do you know this candidate?
What is your relationship to this candidate?
Please rate the candidate on the following:
Written Expression of Ideas
Oral Expression of Ideas
Quantitative Skills
Ability to Work Cooperatively with Others
Tolerance of Ambiguity
Interpersonal Skills
Ethical Treatment of Others
Ability to Meet Deadlines
Ability to Accept Criticism
Stress Management
Graduate Potential
_________________________________
_____Very Well _____Somewhat _____Not Well
_________________________________
Excellent
9
8
9
8
9
8
9
8
9
8
9
8
9
8
9
8
9
8
9
8
9
8
7
7
7
7
7
7
7
7
7
7
7
6
6
6
6
6
6
6
6
6
6
6
5
5
5
5
5
5
5
5
5
5
5
4
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
2
Poor Unknown
1
U
1
U
1
U
1
U
1
U
1
U
1
U
1
U
1
U
1
U
1
U
Additional Comments: ______________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Name (Print):
________________________________________ Date:_________
Signature:
_____________________________________________________
Position or Profession:
_____________________________________________________
Telephone: ___________________________
E-Mail: _________________________
Attempts to secure ratings on the above scales are sometimes inadequate for a thorough evaluation
of the candidates. Please use the back of this form (or attached letter) for additional comment(s) to
either amplify on the above ratings, or include other observations of both perceived strengths and
weaknesses.
When completed, please return to:
Psychology Department, University of Wisconsin-Stout
Jeter Hall, 200 S. Broadway, Menomonie, WI 54751-0790
Or e-mail a scanned copy to smithlib@uwstout.edu
Please note that the applicant has waived their right to view this form. It will remain confidential unless
you choose to share it with them.