Personal Recommendation Form
Graduate Studies Program
Department of Communication Studies
University of Northern Iowa
To the Applicant: Please complete the top portion of this form before asking the person to write a recommendation.
Applicant Name: _______________________________________________________________
Mailing Address: _______________________________________________________________
(Street) (City, State) (Zip Code)
E-mail Address: _____________________________________________________________ ___
_____Iowa Communication Network (ICN) program Applying for: _____ on campus program
Area of Academic Interest:
General Communication
Communication Education
Organizational Communication
Public Relations
Performance Studies
Mass Communication
Other (Please specify) __________________________________________
Thesis Non-thesis
* If you are applying for an assistantship, please rank your choices for potential placement, using A 1" as your top choice. Indicate all that apply.
Areas of assistantship interests: ( You must also complete an application for Assistantship, which is found at http://www.grad.uni.edu/sites/default/files/StipendApp.pdf
.)
Teaching
Individual Events/Debate
Publicity Assistance for Performance Studies
Research
Technical Assistance for Performance Studies
Media Lab Other (Please specify)
* Please check one of the following:
I waive my right to see this recommendation.
I do not waive my right to see this recommendation.
____________________________________ ___________________________________
(Applicant ’ s Signature) (Date)
To the Writer of the Recommendation: The individual listed above has applied for admission to the Master of Arts program in the Department of Communication Studies at the University of Northern Iowa. Please complete the attached form and return the entire document as soon as possible. If you do not know the person well enough to make a recommendation, please say so; it will not affect the applicant = s chances of admission. Do not complete the form if the applicant has not filled out the top portion of this page.
Name of Writer: ______________________________________________________________
(Please print)
What is your relationship to the applicant?___________________________________________
_____________________________________________________________________________

2.
3.
4.
Personal Recommendation Form
Graduate Studies Program
Department of Communication Studies
University of Northern Iowa
Based on your knowledge of and work with the applicant, please rate the person on each of the items listed below. Please check the box next to your response using the following scale:
5 = Superior (Among the top 5%)
4 = Excellent (Among the top 10%)
3 = Good (Among top 25%)
2 = Average (Among the top 50%)
1 = Below Average (Below the top 50%)
0 = Not enough information to make a judgment
1.
Ability to write at the graduate level.
5 4 3 2 1 0
Oral communication skills.
Ability to conceptualize ideas.
Ability to organize.
5
5
5
4
4
4
3
3
3
2
2
2
1
1
1
0
0
0
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
0
0
0
0
5.
6.
7.
Ability to synthesize.
Theoretical background.
Background in research methods. 5
5
5
8.
9.
Ability to work independently.
(Level of self-motivation)
5
Compared to others I have known 5 and worked with, I would rate this person’s preparation for a Master’s program as
10.
Compared to others I have known 5 and worked with, I would rate this person’s intellectual ability as
11.
Compared to others I have known 5 and worked with, I would rate this person’s creativity as
12.
Compared to others I have known 5 and worked with, I would rate this person’s ability to successfully complete a Master’s degree as
4
4
4
4
3
3
3
3
2
2
2
2
1
1
1
1
0
0
0
0

Comparison Group:
13.
In answering the questions above, the representative group I used for comparison purposes was: (Check one)
_____College Juniors
_____College Seniors
_____First Year Graduate Students
_____Advanced Graduate Students
_____Other____________________________
(Please specify)
14.
Do you believe that the applicant will be successful in the degree program designated?
Why/why not? (Please attach additional pages, if needed.)
15.
Recommendation for admission to the University of Northern Iowa Master = s Program in
Communication Studies: (Please check one.)
_____Strongly Recommend
_____Recommend with reservation
_____Recommend
_____Do NOT Recommend
______________________________________ __________________________________
(Signature) (Date)
_______________________________________ __________________________________
(Printed Name) (Title/Position)
_______________________________________ __________________________________
(Institution) (Address)
_______________________________________ __________________________________
(City, State, Zip Code) (Telephone)
Completed forms should be sent to:
Director of Graduate Studies
Department of Communication Studies
University of Northern Iowa
Cedar Falls, IA 50614-0139