MBA Reference Form
__________________ has requested admission to the MBA program offered by W. Frank Barton School of
Business. In order to assist us in determining the applicant’s qualifications, we would appreciate your
candid evaluation of him/her in the areas listed below. Please return your recommendation to the Graduate
Studies in Business office, W. Frank Barton School of Business, Wichita State University, 1845 Fairmount,
Wichita, Kansas 67260-0048 at your earliest convenience. Thank you very much!
WAIVER OF RIGHTS BY APPLICANT (OPTIONAL):
I hereby waive my rights of access to this confidential recommendation as provided in the Education and Privacy
Act of 1974
Signature______________________________________________ Date__________________________
Please check the box which corresponds to your assessment of the applicant in relation to other
students/employees you have known.
CHARACTER ATTRIBUTES
Bottom
50%
Top
50%
Top
25%
Top
10%
Top
5%
Cannot
Evaluate
Maturity
Initiative
Leadership
Judgement
Perseverance
INTELLECTUAL ABILITIES AND SKILLS
Bottom
50%
Analytical
Creative
Quantitative
Computer Literacy
Oral Communication
Written Communication
Please continue on the reverse side…
Top
50%
Top
25%
Top
10%
Top
5%
Cannot
Evaluate
SUITABILITY (Attach Separate Sheets As Needed)
Briefly, what is your overall assessment of the applicant’s ability to succeed in graduate
study at the W. Frank Barton School of Business?
CONTEXT
How long and in what context have you known the applicant?
______________________________
Signature
________________________________
Name and Title (please print)
______________________________
Date
________________________________
Institution/Company
________________________________
Street Address
(______)_______________________
Telephone
________________________________
City/State/Postal Code
Again, thank you very much for your candid assessment!