COLLEGE OF NURSING INTERNATIONAL PRACTICUM
LETTER OF RECOMMENDATION
Name of Student You Are Providing This Recommendation For: (Please print)
_____________________
_______
Date: _______________________
•
A Professional Reference is someone you have worked for or studied under: (employer,
clinical instructor, teacher, professor), who can attest to your academic abilities and/or
work skills (organizational, punctuality skills)
•
A Personal Reference is someone you have worked with or who can attest to your
character: (colleague, friend, minister, sports’ coach, but not a relative).
Please respond to the following questions. You may leave some questions blank if not
applicable in describing your relationship to the applicant. If you wish, you may also attach
an additional letter to this form.
1. What is the basis of your knowledge of this applicant? How long have you known the
applicant?
2. If applicable, comment on the applicant’s academic and clinical ability, in relation to
participation, understanding assignments, meeting deadlines, accountability, etc.
3. Comment on the applicant’s level of maturity, adaptability to different environments,
flexibility, etc.
4. Comment on the applicant’s motivation and seriousness of purpose for this practicum.
5. What do you consider to be the applicant’s strengths? Possible areas of difficulty?
6. Do you have any concerns about the applicant’s ability to participate in an international
practicum?
Do you recommend this applicant for acceptance for this international practicum?
Highly recommend
Recommend with reservations
Do not recommend
Name: __________________________________________________________________
Position: ________________________________________________________________
Institution: ______________________________________________________________
Phone number: ___________________________________________________________
e-mail address: ___________________________________________________________
Signature: _______________________________________________________________
Return SIGNED reference form directly from Person Doing Recommendation by mail, email or
fax to:
ELAINE MAKSYMIW
Administrative Assistant (International Student Affairs)
College of Nursing, Southern Saskatchewan Campus
University of Saskatchewan
100 – 4400 4th Avenue
Regina, SK S4T OH8
Phone: 306-337-3802
Fax: 306-337-3804
Email: elaine.maksymiw@usask.ca
Thank you for providing a reference.