Department of Educational Psychology
University of Hawai'i at Manoa
RECOMMENDATION FORM
*TO THE APPLICANT:* This form is to be completed by an individual who is
able to evaluate your academic and/or professional qualifications for
graduate study in Educational Psychology. For the convenience of the
person completing the form, please provide the information requested
below. Attach a stamped envelope addressed to: Admissions, Department of
Educational Psychology, University of Hawai'i at Manoa, 1776 University
Avenue, Honolulu, HI 96822.
Name of applicant: _____________________________________________
Degree sought (circle one)
Ph.D. M.Ed. M.Ed.
(Learning & Assessment) (Studies in Ed. Psych.)
Date by which form must reach dept. (circle one): Feb 1st Sept 1st
=====================================================================
I understand that federal legislation provides me with a right of
access to this recommendation which may be waived if I so choose, and
that no school or person can require that I waive this right.
APPLICANT: Please sign on the next line if you wish to make this a
confidential recommendation by waiving your right of access to it.
Signature: _____________________________________________________
=====================================================================
TO THE RESPONDENT: Please use this form to evaluate the applicant's
professional and personal qualifications for graduate study in
Educational Psychology.
1. How long have you known the applicant? __________________________
2. What is the nature of your relationship with the applicant?
(professor, employer, etc.)
_________________________________________________________________
3. What specific strengths does the applicant have which you feel are
strong arguments for admission?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
4. What specific weaknesses does the applicant have which you feel
might interfere with progress toward the degree?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
5. In comparison with other students whom you have recommended for
graduate study, please rate the applicant in terms of each of the
following by placing an "X" in the appropriate column.
Top 2% Top 5% Top 25% Average Below Av No
Data
Ability to express
self verbally ____ ____ ____ ____ ____ ____
Ability to express
self in writing ____ ____ ____ ____ ____ ____
Ability to pursue
independent study ____ ____ ____ ____ ____ ____
Level of creativity ____ ____ ____ ____ ____ ____
Level of academic
enthusiasm ____ ____ ____ ____ ____ ____
Motivation to pursue
graduate study ____ ____ ____ ____ ____ ____
Likelihood of
outstanding
graduate work ____ ____ ____ ____ ____ ____
Likelihood of post-
graduate contributions
to the discipline of
ed. psych. ____ ____ ____ ____ ____ ____
6. If the applicant were applying to a graduate program of study
within which you were a faculty member, how strongly would you
argue for admission?
_________________________________________________________________
_________________________________________________________________
7. Please provide (on a separate page) any additional comments which
you feel are relevant to the admission decision. Thank you.
Signature: ______________________________________ Date: ____________
Name and position: __________________________________________________
Address: ____________________________________________________________
____________________________________________________________
____________________________________________________________
=====================================================================