Letter of Recommendation
The following statement indicates the applicant’s submitted signed response to the Letter of
Recommendation Waiver.
I waived my right to inspect the contents of this recommendation.
I did not waive my right to inspect the contents of this recommendation.
Deadline for submission is February 19, 2016
Name of Applicant:
is applying for a Nurse Residency Position. The Nurse Residency is a 12-month clinical education
opportunity designed to develop a professional nurse with a broad foundation in Pediatric Nursing,
and strengthen critical thinking and clinical judgment abilities. The Nurse Resident will be expected to
deliver competent and skilled care to patients and families with a team orientation and an emphasis
on good customer relations. At least two letters of reference must be from persons who can attest to
the applicant’s clinical knowledge and skill; one must be from a clinical faculty member
knowledgeable about the candidate’s pediatric knowledge and clinical skill.
If you cannot speak to the clinical knowledge and skill of this candidate, please do not
complete a letter of recommendation. Please do not send via Google Docs.
My acquaintance with applicant was as:
Employer/Supervisor/Manager/Director
Instructor/Professor
School Advisor
Other (specify)
How long have you known this applicant?
1
Applicant rating: Check the column of the rating that is most applicable.
Please be sure that you have selected one rating for each evaluation criteria. Incomplete
letters of recommendation cannot be accepted.
Please select one rating
for each criteria
Outstanding
4
Above
Average
3
Average
2
Below
Average
1
Do Not
Know
0
1. Clinical Skill and Ability
2. Judgment and Common
Sense
3. Compassion and Concern
for Others
4. Critical Thinking
5. Professional
Accountability/Leadership
6. Communication Skills
7. Integrity
8. Collaboration
9. Safety
10. Initiative
What qualities or characteristics does the applicant have that would contribute to his/her
success as a Nurse Resident?
I would recommend this person for a nurse resident position.
If no, please state concerns.
Yes
No
Typed Name:
___________________________ Title:
_______________________
(Submitting this form via your email address serves as an electronic signature.)
Date:
__________________________________ Daytime Phone Number:
Please submit this form via e-mail to:
(Please do not send via Google Docs)
nurse.residency@cookchildrens.org
2
_______