Bachelor of Social
School of Social Work
Work Fall 2022
Reference Form: Academic and Volunteer/Work Experience
APPLICANT NAME:
The named applicant is applying for admission to Bachelor of Social Work at MacEwan University
and has provided your name as a referee. Although many factors are considered in the
admission selection process, the School of Social Work relies on information provided by
those personally familiar with the applicant. We appreciate your frankness in describing the
applicant’s suitability for the social work profession.
I have known the applicant in my capacity as:
Teacher/Professor
I have known the applicant for
Type of reference:
Academic
Employer
Supervisor
Other:
(please specify)
years.
Volunteer/Work Experience or
Social Work Field Placement, please specified the number of hours
1. In comparison with other individuals you have known in a similar capacity, how would you rate
the applicant in terms of the attributes below? Please check “No Opportunity to Observe” if you are
not knowledgeable on any given attribute.
Commitment to education
Academic potential
Creative and independent thought
Integrity
Maturity
Verbal communication
Written communication
Openness to learning
Awareness of and concern about social issues
Ability to perceive and solve problems
Ability to work with others
Overall assessment
MacEwan University BSW Reference Form Fall 2022
Very
High
High
Moderate
Low
No
Opportunity
to Observe
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Bachelor of Social Work
School of Social Work
Fall 2022
2. In comparison with other individuals you have known in a similar capacity, assess the
applicant in the following areas.
a) Personal suitability for the profession of social work.
b) Readiness for a Bachelor of Social Work program.
c) Knowledge and skills applicable to social work.
MacEwan University BSW Reference Form Fall 2022
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Bachelor of Social Work
School of Social Work
Fall 2022
In summary, what is your recommendation regarding the applicant’s suitability for the social work
profession?
Highly recommended
Recommended
Not recommended
Unable to judge
Referee Name:
Position and Department:
Institution/Organization:
Mailing Address:
City:
Telephone Number:
Province:
Email:
Postal Code:
Date:
Remember to SAVE before submitting the reference form. Completed reference forms must be
submitted to MacEwan University using the secure upload link provided in the email sent to you.
Reference forms must be received by April 15th. Reference forms not received by this date will
result in the applicant’s file being deemed incomplete and closed. This reference form will be
treated as a confidential document in accordance with the Personal Information and
Confidentiality Statement and not shared with the applicant.
Personal Information and Confidentiality Statement
The personal information requested on this form is collected under section 33(c) of Alberta’s Freedom of information and
Protection of Privacy Act for the purpose of determining an applicant’s eligibility for admission to MacEwan University. Letters of
reference, personal assessments, and other evaluative information are supplied in confidence. Questions concerning
this collection, use and disclosure of this information should be directed to the Lead, Privacy and Information
Management at privacy@macewan.ca.
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CLEAR