UNIVERSITY OF WEST GEORGIA
COMMUNICATION SCIENCES AND DISORDERS
RECOMMENDATION FORM FOR GRADUATE PROGRAM
Applicant’s Name: ______________________________________________________________
How long have you know this applicant? ____________ In what capacity? _________________
I, (signature of Applicant) ________________________________do _______do not _________ waive my
right to review the content of this document.
FOR THE REVIEWER:
Please rate the applicant in each of the following areas.
4
3
2
1
0
Outstanding
(Top 5%)
Excellent
(Top 15%)
Good
(Top 25%)
Satisfactory
(Top 50%)
Below Avg
(Lower 50%)
Interpersonal Skills
Academic Ability
Academic Performance
Clinical Potential
Verbal Ability
Writing Ability
Conscientiousness
Overall, you expect the applicant’s graduate work to be:
 Outstanding (Comparable to the few best students in current undergraduate class;
highest 5%. Will be a top student in a competitive graduate program.)
 Excellent
(Highest 15% of current undergraduate class. Will have no difficulties in a
competitive graduate program.)
 Good
(Above average; highest 25% of current undergraduate class. Will be an
average student in a competitive graduate program.)
 Satisfactory (Upper 50% of undergraduate students. Some reservations exist about
recommendation; student might run into a problem or two in a competitive
graduate program.)
 Below Average (Not recommended for graduate study.)
If you wish to provide additional information, please enclose a letter or use the reverse side.
Reviewer’s Information:
____________________________
Name
____________________________
Position
__________________
Institution
____________________________
Signature
____________________________
Phone #
__________________
E-mail
Return Completed form to:
Office of Graduate and International Admissions
University of West Georgia
Aycock Hall
Carrollton, GA 30118-4160
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Judge