Bachelor of Social Work or Bachelor of Social Work After Degree Program
ACADEMIC REFERENCE
Name of Applicant:
The above applicant has applied for admission to the Bachelor of Social Work or Bachelor of Social Work
After Degree Program at Booth University College and has selected you as a referee. The BSW program is
a professional degree program intended to graduate practitioners ready for entry level practice. It is critical
that individuals with suitable personal qualities be selected.
Please complete the following admission reference to the best of your knowledge. Thank you for taking
time to complete this reference.
Name of Referee:
Position:
Organization:
Phone:
To the Person Providing the Reference
Your thoughtful consideration of the questions on this person will assist us in evaluating the
applicant's qualifications and suitability for the social work profession. Your reference will assist us
in evaluating individuals who have a high potential for social work practice and will make good use
of professional education.
From an academic perspective, analytical skills and an ability to think critically are important to the
study and practice of social work. Thank you for taking time to complete this reference.
The closing date for applications and all supporting documentation is April 30.
Booth University College
477 Webb Place
Winnipeg, MB R3B 2P2
I have known the applicant for
year(s) or
months.
In the capacity of
Please indicate your rating which best indicates your evaluation of the applicant in the following
areas:
Specific Abilities
Academic Potential
Critical Thinking
Ability to communicate orally
Ability to communicate in writing
Good Time Management Skills (Submit
assignments on time)
Initiative, including independence, creativity
& resourcefulness
Acceptance and use of constructive
feedback
Comfort with diversity (ethnicity, culture,
gender)
Leadership potential
Awareness of and concern about social
issues
Ability to work cooperatively with others
Class Attendance & Participation
Communication with Instructor (i.e. Help
Seeking Behaviour)
Overall assessment
Superior
Very Good
Average
Fair
Poor
Unable to
Comment
Describe the characteristics of this individual that you believe will make this person a good social
worker.
Name of Referee:
Referees Title/Position
Affiliation:
Phone No:
Email:
Signature
Date:
Note to Referee:
Please return to Applicant in sealed envelope with your
signature across the seal.
Revised May 2015
Please Check One:
□ Recommended Very Highly
□ Recommended Highly
□ Recommend
□ Recommend with Reservation
□ Not Recommend