Bishop State Community College
Physical Therapist Assistant Program
Letter of Reference
References Name: Day time Phone:
Position: Date Completed:
Email Address: Address:
How long have you known this applicant?
How well do you know the applicant?
Approximately how many references will you submit on behalf of PTA applicants?
What organization were you associated with the when you interacted with the applicant?
What was your role in the organization?
How do you think this person would perform as a physical therapist assistant?
o I highly recommend this applicant to the PTA Program a BSCC
o I recommend this applicant.
o I recommend this applicant, but with some reservations
o I am not able to recommend this applicant.