Department of Psychology
135 Martin Hall
Cheney, WA 99004-2423
Voice: (509) 359- 2827
Fax: (509) 359-4366
LETTER OF RECOMMENDATION FOR GRADUATE STUDY IN PSYCHOLOGY
Please indicate for which program you are applying:
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MS Applied Psychology Mental Health Counseling (due 2/1)  MS Applied Psychology School Counseling (due 2/1)
EdS School Psychology (Early Consideration 1/15; due 3/1)
MS Psychology: Clinical Emphasis (Early Consideration 1/15; due 3/1)
MS Psychology: Experimental Emphasis (Early Consideration 1/15; due 3/1)
Under the Family Educational Rights and Privacy Act, students of Eastern Washington University have the right to inspect their files
upon request. Would you please sign one of the following statements so that the person you have requested to write a letter of
recommendation will know if their letter will be held in confidence or if the letter will be open to your inspection upon your request. The
waiving of your right to see this letter of recommendation is not a requirement for admission or consideration for an award.
 I understand that I have the right to
inspect my file upon request under the
Family Educational Rights and Privacy
Act. I hereby WAIVE my right of
Access to this letter of recommendation.
 I DO NOT WAIVE my right of access
to this letter of recommendation.
Signature of Applicant
Signature of Applicant
Part I
TO THE STUDENT: Complete Part I. Give this form to the person recommending you.
Name of Applicant:
Degree Sought:
Please list courses you have taken (or job experiences you have had) from the person filling out the reference.
Course Level
(F, So, J, S, G)
Course Title/Description or
Job Experience
When completed
Grade/Performance
Please give other personal contacts you have had with the person giving reference:
Complete Part II. Next Page.
Psychology@ewu.edu
Department of Psychology, 135 Martin Hall
Eastern Washington University
Cheney, WA 99004
GRADUATE STUDY IN PSYCHOLOGY LETTER OF RECOMMENDATION PAGE 2
TO PERSON FURNISHING REFERENCE: Please fill out this form and forward it as soon as possible to the address at the bottom of
the page. Please complete the rating below. If you do not know the student well, please feel free to indicate this. Such frankness will not
prejudice the candidate’s application for admission.
I do not know the student well enough to give a recommendation.
In what capacity and during what period of time have you known this applicant?
1.
Please compare the applicant in the scale below with a representative group of students with whom you have known during your
career (please specify the reference group you are using, e.g., first year graduate students, seniors, employees, etc.)
Reference group
Outstanding
(Top 5%)
Excellent
(Top 20%)
Good
(Top 30%)
Average
(Middle 40%)
Poor
(Bottom 30%
Unable to
judge
Intellectual ability
Ability to work with
others
Ability to work
independently
Emotional
stability/maturity
Enthusiasm
Writing ability
Overall potential
2.
Instead of completing the following questions, you may submit a LETTER OF REFERFENCE WITH LETTERHEAD. If you
submit a Letter of Reference, please address the following: An estimate of the applicant’s strengths and weaknesses as a graduate
student (Intellectual independence, emotional maturity, capacity for analytical thinking, accomplishments, organizing and expressing
ideas, motivation, empathic abilities, effective listening and communication, etc.
3.
What information do you have about this applicant which may be relevant to his/her applying to a graduate program but not likely to
be available from other sources?
4.
What contributions has the student made on the campus? In the community?
5.
Some gifted individuals achieve marginal scholastic records. In your opinion is the applicant’s scholastic record an accurate index of
his/her scholastic ability?
Yes
No
Do not know. If your answer is no, explain briefly,
giving consideration to the applicant’s performance in independent study or in research participation programs.
6.
What is your estimate of the applicant’s promise as a graduate student? (Give views on such matters as previous accomplishments;
intellectual independence; capacity for analytical thinking; ability to work with others; ability to organize and express ideas clearly,
orally and in writing; drive and motivation.
Signature
Institution or Business
Date
Name (Typed or Printed)
Occupation, Positions, or Title
Address
Street/Apartment
City
State
Zip