Conﬁ dential Reference Form
To be completed by the applicant:
Name of Applicant EMCC Student ID Number Intended Program of Study
Recommendations must be completed by professional or academic persons (e.g. work supervisor, guidance
counselor, professor/instructor/teacher); recommendations from family members, friends, or co-workers are not
acceptable. Since candid appraisals of applicants are used as important acceptance criteria by the Admissions Committee, we would
greatly appreciate your cooperation in promptly completing and returning this form. All references are considered conﬁ dential and
must be sent directly from the person who completes it to: firstname.lastname@example.org Applicants do not have access to references
sent in on their behalf.
How long and in what capacity have you known the applicant?
What are the applicant's strengths?
In what area(s) does the applicant need to improve?
PLEASE RATE THE APPLICANT ON THE QUALITIES LISTED BELOW USING THE KEY PROVIDED.
1=Poor 2=Below Average 3=Average 4=Above Average 5=Outstanding N/A=Not Able to Comment
_____ Motivation _____ Maturity
_____ Commitment to the Intended Program of Study _____ Organization Skills
_____ Aptitude for the Intended Program of Study _____ Independence
_____ Mechanical Aptitude _____ Consistency in Meeting Deadlines
_____ Ability to Get Along with Others _____ Responsibility
COMPANY/SCHOOL NAME: PHONE:
EMCC is an equal opportunity/afﬁ rmative action institution and employer. For more information, please call 207.974.4633.