COLLEGE OF EDUCATION
RECOMMENDATION FORM

To be completed by candidate:

Name ______________________________

Social Security # _____________________

Major _______________________

Minor/Professional Sequence _________________

As part of my application for admission to the College of Education, I am requesting that this form be completed by my instructor for __________. I voluntarily waive my right to access this recommendation under Public Law 93-380 so that it may be kept confidential. I know that I must meet all other criteria for admission in the manner set forth in the current catalog.

______________________
Candidate's Signature		 _____________________
Print Name		 _________________
SS#		 ______________
Date

___________________________________________________________________________________________

To be completed by faculty member:
Using the accompanying rating scale, indicate your assessment of the applicant's qualifications related to each criterion. Please use the back of this form to elaborate on any item/s designated unacceptable.

Candidate demonstrates:

Exemplary

Acceptable

Unacceptable

Does Not Apply
1. Knowledge of pedagogy (HRD: androgogy)        
2. Knowledge of content area        
3. Literacy skills that are conducive to the profession        
4. Reliability        
5. Academic honesty and integrity        
6. Adaptability and flexibility        
7. Poise and self-confidence        
8. Sensitivity to feelings and needs of diverse learners and colleagues        
9. Potential ability and enthusiasm for the profession        
10. Ability to effectively work in a professional setting        
11. Desire to seek out opportunities to develop and demonstrate professional knowledge        
12. A valuing of human diversity and respect for varied talents/perspectives        
13. A developing personal professional philosophy        
14. A valuing and promotion of lifelong learning for self and others        
15. A valuing of and effective interaction in learning communities        
16. A valuing of and engagement in critical reflective thinking        
17. A valuing of and engagement in linking theory and practice        

Additional comments:

Recommendation for admission to the College of Education: Yes ___ No _____

_____________________________________________________
Faculty Signature

_____________________________________________________
Faculty Name (Please print)

_______________________
Date

_______________________
Department

Faculty member: Please place this recommendation in a sealed envelope with your signature written on the seal and return this form directly to the student. The recommendation must be submitted to the College of Education by the student along with the students application and other required documents. Thank you.                                                                                                                          Revised 3/05/04