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Reference Letter..

Letter for refferal

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Jaslyn Esther Baluyos
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37 views

Reference Letter..

Letter for refferal

Uploaded by

Jaslyn Esther Baluyos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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CONFIDENTIAL LETTER OF REFERENCE

This letter of reference should be filled out by a referee under whom the applicant has studied or by someone who has supervised the
applicant in work related to the proposed field of study. Your evaluation will be most helpful and will be kept in strictest confidence. Please
return this form in a sealed envelop with your signature across the sealed flap.

NAME OF APPLICANT

___________________________________ _____________________________________________ ___________________


Family Name First Name(s) Middle Name

NAME OF REFEREE

____________________________ ________________________ ____ _____________ _________________________


Family Name First Name(s) M. I. Title Rank or Position

INSTITUTIONAL AFFILIATION OF REFEREE

Name of Institution ________________________________________________________________________________________

Address _______________________________________________________________________________________________________

Email Address _____________________ Office Telephone Number________________________________________

How long have you known the applicant? _____________________Years ______________________ Months

In what capacity have you known the applicant? Please place an X-mark on the appropriate box(es) below.

_______Teacher ( High School / Undergraduate) _________Academic Adviser

_______ School principal / Dean _________ Guidance Counselor

PLEASE PROVIDE A BRIEF CANDID EVALUATION OF THE APPLICANT. Your statement will be given considerable importance and should,
therefore, be as complete and detailed as possible. Some areas which may be covered are applicant’s scholastic ability, strengths and
weaknesses in terms acquiring a college degree, his/her definition of objectives and goals as they relate to his/her plans for BS Medical
Technology and other factors that might assist ICLS in considering the applicant.

_______________________________________________________________________________________________________________
IN THE RATING CHART BELOW PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE
KNOWN DURING YOUR PROFESSIONAL CAREER. Place an X – mark inside the appropriate boxes. If you are unable to evaluate the applicant
in a particular item, please mark the boxes under NA.

Evaluation Parameters Excellent Very Good Good Fair Poor Very Poor NA
(95-100%) (85-94%) (70-84%) (50-69%) (40-49%) (<40%)

Seriousness of Purpose

Motivation to Achieve Degree

Intellectual Ability

Study / Work Habits

Capability for Independent


Study

Stewardship / Resourcefulness
and Initiative

Emotional Maturity

Adaptability to New Situations

Oral Communication (English) /


Ability to orally present reports
Written Communication
(English) /
Ability to write reports
Leadership Qualities

Teaching Potential

Willingness to work with a


group

Honesty and Integrity

Courtesy and Politeness

Faithfulness and Obedience

GENERAL RATING OF APPLICANT

______Excellent ______Above Average ______Below Average

______Superior ______ Average ______Poor

The rating was done to the best of my knowledge and experience with the applicant as attested by my signature below.

______________________________________________ _____________________________
Signature Date

_____________________________________________
Printed Name of Referee

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