School of Nursing

Reference form – Student waived right to inspect

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Recommender instructions: Please fill out the electronic recommendation form, in its entirety, including the application information section. When finished, make sure to submit the form using the button at the bottom of the page to add the recommendation to the applicant’s record. You and the applicant will receive an email confirmation upon submission.

Applicant information

Must match exactly the information you provided on your VCU undergraduate application for admission.

Middle initial:
(mm/dd/yyyy)

The School of Nursing values your comments on the suitability of this applicant to do undergraduate work and will hold your comments in confidence of the applicant.

Reference:
(Personal references are not accepted.)

Please carefully assess the applicant in the following areas. In making your assessment, compare the applicant to other individuals you have known who have similar levels of experience and education.

Assessment area
Superior Good Average Poor Unknown
Intellectual ability
Ability to analyze a problem and format a solution
Competence in applicant’s general field
Self-reliance
Leadership
Creativity/innovation
Motivation
Self-discipline
Cooperativeness
Oral communication skills
Written communication skills
Initiative
Reliability
Integrity



Institution: