Pending Social Work Major Recommendation Form
Instructions to Applicant:
References are required from three (3) persons who have sufficient knowledge of your ability and
performance to respond to the questions below. Please complete the boxed section before asking your
reference to complete the rest of this form. The School only accepts electronic submissions at this time. The
recommendation form should be saved in Microsoft Word format and forwarded electronically to the
recommender.
Applicant’s Name:
Applicant’s Student ID#:
Campus:
☐ Akron
☐ Wayne
☐ Lakewood
Recommender’s Name:
How long and in what capacity do you know the person furnishing the recommendation?
Instructions to Recommender:
The applicant has identified you as a person having knowledge of her/his potential for social work study.
Please complete the information requested. Typing in your name where requested constitutes an electronic
signature. Please note that in compliance with the law, it is the policy of the School that those students who
are admitted have access to their folders, which will contain your recommendation. Since the School’s
decision on admission cannot be made until recommendations have been received, we would appreciate a
reply at your earliest convenience. The School only accepts electronic submissions at this time. The
recommendation form and optional recommendation letter should be saved in Microsoft Word format and
forwarded to the applicant or submitted to pendingsocialwork@uakron.edu.
Thank you for your cooperation.
Michele D. Thornton, Pending Advisor, BSW Coordinator
Questions: School of Social Work 330-972-5974 or pendingsocialwork@uakron.edu
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If you do not know the applicant well enough to give a recommendation, please check here (☐).
Please assess the applicant’s academic promise and potential for social work practice in comparison to
other undergraduate students you have known.
Pending SWK Major Recommendation Form 9.30.15
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Pending Social Work Major Recommendation Form
Characteristics
Academic Performance
Superior
Above
Average
Average
Below
Average
Inadequate
Knowledge to
Assess
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Intellectual Potential
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Communication Skills: Oral
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Ability to Work with People
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Relates Well to Others
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Ability to Utilize Criticism
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Communication Skills: Written
Motivation for Proposed Program
of Study
Ability to Assume Responsibility
Capacity for Change and
Continuing Development
Additional Comments:
☐
A check in this box affirms that I hereby attest that all of the information in the recommendation is
true to the best of my knowledge and is the equivalent of my signature.
Recommender’s Name:
Title:
Street Address:
City:
Phone Number and Extension:
Pending SWK Major Recommendation Form 9.30.15
Date: Click here to enter a date.
Organization:
State:
Zip:
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