RUBENSTEIN PERENNIAL INTERNSHIP PROGRAM
RECOMMENDATION FORM
To the applicant: Please complete the following:
Name:
Click here to enter text.
Major:
Click here to enter text.
Expected Date of
Graduation:
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enter text.
Please list the Perennial Internship(s) you are applying for. You may apply for a maximum of
three.
1) Click here to enter text.
2) Click here to enter text.
3) Click here to enter text.
**Full descriptions of the Perennial Internships can be found at the following website:
http://www.uvm.edu/rsenr/?Page=experiential/perennial-summerinternships.html&SM=servicessubmenu.html
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Hello Rubenstein Faculty/Staff/Graduate Student,
Please evaluate the applicant using the grid below, indicating your perception of the student’s readiness to
function in a Rubenstein Perennial Internship during this upcoming summer. Provide specific yet brief
written comments on the next page.
Once you open this document, click “Save as” then begin completing it. Be sure you save again when you’re
done and then email it as an attachment directly to Anna.Smiles-Becker@uvm.edu by Friday, January 29th at
4pm. If you would prefer to complete this form by hand, please do so and submit it Anna’s mailbox in Aiken.
Applicant name: Click here to enter text.
Recommender name: Click here to enter text.
O – Outstanding; MS - More than Satisfactory; SAT – Satisfactory; NI - Needs Improvement, U - unsatisfactory
Unable to
O
MS
SAT
NI
U
Evaluate
Application of knowledge
In the classroom
In the field
In an office/organizational setting
Problem solving skills
Initiative/motivation
Communication skills
Oral
Written
Interpersonal skills
Peers/Co-Workers
Professors/Supervisors
Leadership skills
Commitment to social justice/diversity
Punctuality
Adaptability
Openness to feedback
Perseverance
Creativity
Organizational Skills
Works Independently
Responsibility/Maturity
Overall Potential as a Perennial Intern
Relationship to Applicant:
Advisor:
If Other, please indicate relationship:
How long have you known applicant?
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Professor:
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Click here to enter text.
TA:
Staff:
Other:
Do You:
(Check appropriate box.)
Highly Recommend
5
4
Recommend
3
2
Not Recommend
1
Additional Information: Please provide a few sentences articulating the applicant’s strengths as well as
qualities/skills that could use further development.
Strengths: Click here to enter text.
Qualities/skills that could use further development: Click here to enter text.
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