MSW
Recommendation F
o
r
m
Submitted by deadline to sw@lsu.edu
Applicant
Name:
Instructions
to
Applicant:
This form should be given to individuals who can attest to your ability, potential
and readiness for graduate education and professional social work practice.
A total of three (3) recommendation forms are required for your admission file to be complete. A letter of
support is optional.
Two (2) recommendations must be Academic (college instructors, internship supervisors) and the
remaining one (1) recommendation must be a Professional (Work/Volunteer) Reference. Family friends,
clergy, therapist and high school teachers are not appropriate.
Applicants who have been out of school for 2 or more years and cannot ascertain academic references
may substitute other professional recommendations for academic.
For any applicant, if two are not academic recommendations and one is not professional, please include a
statement and email this to sw@lsu.edu with your application explaining the reason for the substitution.
It is strongly recommended that if an internship was part of the degree program and the internship has
been completed at the time of application, a recommendation from the internship supervisor be included
as the professional recommendation.
Complete FERPA statement.
Submit this form to your recommender.
FERPA Statement: In accordance with (FERPA) Family Education Rights and Privacy Act of 1974, a
student has access to their educational record, including letters of recommendation. However, a student
may waive the right to review this recommendation, in which case, the letter of recommendation will be
held in confidence and not reviewed by the student. Failing to check the appropriate box will automatically
waive your access to view this recommendation. Check the appropriate box and sign below/type your
name prior to sending this form to the recommender. Typing is legally equivalent to your signature and
constitutes your certification that the information provided is accurate to the best of your knowledge.
Do you wish to waive your right to examine this letter of recommendation? Yes No
Signature: Date:
Recommendation Type: Academic Professional (work/volunteer)
Instructions
to
Recommender
:
The LSU School of Social Work is seeking individuals who possess the
personal qualifications essential to professional social work practice and the academic credentials to
successfully fulfill the scholastic requirements while coping with the demands of graduate education. We ask that
you complete this recommendation form (letter of support optional). Once you have completed this form, scan
and email it to the to sw@lsu.edu. Do not return this form to the applicant.
Na
m
e
:
Ti
t
l
e
o
r
P
os
i
t
i
on
:
Organization/Company:
Add
r
e
ss
:
Ph
on
e
:
Em
a
il
:
Please
mail or scan
the
completed
form to: LSU
School
of
Social
W
o
r
k
MSW
Admissions Committee
313 Huey P. Long F
i
eldhou
se
Baton Rouge, LA 70803
Scan & email to: sw@lsu.edu
Page 1 of 2
click to sign
signature
click to edit
In what capacity have you known the applicant?
How long have you known the applicant?
In
rating
the
applicant,
who is your basis of
comparison? Please check all that apply.
Other students Other employees Other volunteers
Other
Please rate the applicant in each of the following categories by circling the appropriate number.
Below A
v
e
r
a
g
e
1 2 3
Av
e
r
a
ge
4 5 6
Above Average
7 8 9
Unable
to Rate
Ra
t
e
Know
l
e
dg
e
In
t
e
llig
e
nc
e
Academic
Ab
ili
t
i
e
s
Carries
Out
Ass
i
gn
m
e
n
t
s
Social Aw
a
r
e
n
e
ss
Professional
C
o
mm
i
tm
e
n
t
Ma
t
u
r
i
t
y
St
a
b
ili
t
y
Mo
t
iv
a
t
io
n
In
it
ia
t
iv
e
Le
a
de
r
s
hi
p
Interpersonal
S
k
ills
Op
e
nn
e
ss
Em
p
a
t
hy
Judg
men
t
Communication
S
k
ill
s
Cr
ea
t
i
v
i
t
y
Re
sou
r
c
e
f
u
l
n
e
ss
In
t
e
g
r
it
y
Potential
to
Su
cc
ee
d
What
is
your overall
recommendation
of the
c
a
nd
i
d
a
t
e
?
____ Highly Recommend
____ Recommend
____ Recommend with Reservations
____ Not Recommended
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