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: ________________________________________________________________
Applying for:
_____ on campus program
_____Iowa Communication Network (ICN) program
Area of Academic Interest:
General Communication
Public Relations
Communication Education
Performance Studies
Organizational Communication
Mass Communication
Other (Please specify) __________________________________________
Thesis/Research paper preference option
Thesis
Non-thesis
* If you are applying for an assistantship, please rank your choices for potential placement, using A1" 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/assistantships/application.aspx.)
Teaching
Research
Individual Events/Debate
Technical Assistance for Performance Studies
Publicity 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?___________________________________________
_____________________________________________________________________________
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 circle 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
2.
Oral communication skills.
5
4
3
2
1
0
3.
Ability to conceptualize ideas.
5
4
3
2
1
0
4.
Ability to organize.
5
4
3
2
1
0
5.
Ability to synthesize.
5
4
3
2
1
0
6.
Theoretical background.
5
4
3
2
1
0
7.
Background in research methods.
5
4
3
2
1
0
8.
Ability to work independently.
(Level of self-motivation)
5
4
3
2
1
0
9.
Compared to others I have known 5
and worked with, I would rate this
person’s preparation for a Master’s
program as
4
3
2
1
0
10.
Compared to others I have known
and worked with, I would rate this
person’s intellectual ability as
5
4
3
2
1
0
11.
Compared to others I have known
and worked with, I would rate this
person’s creativity as
5
4
3
2
1
0
12.
Compared to others I have known
and worked with, I would rate this
person’s ability to successfully
5
4
3
2
1
0
complete a Master’s degree as
Comparison Group:
13.
In answering the questions above, the representative group I used for comparison
purposes was: (Check one)
_____College Juniors
_____Other____________________________
_____College Seniors
(Please specify)
_____First Year Graduate Students
_____Advanced Graduate Students
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