Last Name First Name Middle or Maiden Name
Proposed Graduate Program
Concentration (Counseling / CPCS / IO / GIOP)
Degree Sought
The Family Education Rights and Privacy Act of 1974 and its amendments guarantee students access to their educational
records; however, they may waive their right to see recommendations. The following signed statement reflects the applicant’s
wish regarding this recommendation:
I waive my right to inspect this recommendation.
I do not waive my right to inspect this recommendation.
Recommendation Outstanding Excellent Good Fair Poor Unable
Criteria (highest 5%) (next highest 5%) (next highest 15%) (next highest 25%) (lowest 50%) to Judge
Academic performance, if applicable
Motivation for proposed program of study
Intellectual capacity, including reasoning
and analytical ability, imagination,
learning potential
Research and writing ability
My overall recommendation of the applicant for graduate study:
Highly Recommended
Recommended
Recommended with Reservation
Not Recommended
Please also attach a separate l
etter of recommendation with additional comments about the applicant.
Signature Date
Name and Position (type or print)
Institution/Organization
Address City State/Zip
UNIVERSITY OF BALTIMORE / 1420 NORTH CHARLES STREET / BALTIMORE, MARYLAND 21201-5779
APPLIED PSYCHOLOGY RECOMMENDATION FORM
To be completed by applicant. Print or type form. Please send completed form to documents@ubalt.edu.
Signature of Applicant
Summary Evaluation
To be completed by person recommending applicant. The recommendation should come from an individual who can speak to
the candidate's ability to succeed in an academic program such as faculty member or supervisor.
The person named above has applied for admission to graduate study at the University of Baltimore. Please complete the
summary evaluation below. Please also append to this form additional comments about the applicant. This recommendation is
subject to review by the applicant unless that right has been waived (see above).
How long have you known the applicant? __________________ In what capacity? _____________________________
Please specify the referent group you are thinking about as you rate the applicant:
Other undergraduate students I have taught in recent years
Graduate students in a master's terminal psychology program
I have taught in recent years
Other employees I have worked with that are now professionals in the field
Other (please specify) ________________________________
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