To Applicant: Please complete the upper portion of the Recommendation Form and forward it to an individual who
is acquainted with your professional and leadership experience. Please type or print.
Name of Applicant Social Secerity Number
Home Address (Street, R.R., or PO Box)
City State Zip
Home Phone Work Phone
Cell Phone
The Family Education Rights and Privacy Act of 1974 and its amendments guarantees students access to certain academic
records. Students may, however, waive their right of access to recommendations. Failure to check the box below and sign
will constitute a waiving of rights to inspect the contents of the following recommendation.
q I do not waive my rights to inspect the contents of the following recommendation.
Signature of Applicant Date
DOCTORATE OF ORGANIZATIONAL LEADERSHIP
RECOMMENDATION FOR ADMISSION
Is a self-directed learner
Intellectual capabilities
Is trustworthy
Analytical ability
Quality of oral expression
Quality of written expression
Ability to work with others
Emotional maturity
Perseverance
Leadership Potential
Manages time and daily work effectively
Shows initiative
RECOMMENDER
This section to be completed by reference respondent.
(Note: Condentiality of recommendations cannot be guaranteed unless applicant waives right of access.)
Directions to Recommender: The person named above is applying for admission to the Doctoral Program at Indiana
Wesleyan University. Please complete Section A and Section B of this form. Only recommendations with completed
sections A and B will be considered by the Admissions Committee.
SECTION A: Please indicate (p) the applicant’s ability and professional competence in comparison with other
individuals whom you have known at similar stages in their careers.
ABILITIES AND COMPETENCIES
OUTSTANDING
TOP 5%
VERY GOOD
TOP 10%
AVERAGE
BELOW
AVERAGE
UNABLE TO
ASSESS
GOOD
TOP 25%
How long have you know the applicant and in what capacity?
What do you consider the applicant’s strengths?
Please describe any weaknesses that you believe might impede the applicant’s ability to pursue rigorous study at the
PhD level.
Please describe a specic situation in which you have observed the applicant using his or her leadership skills in an
organizational context.
Please comment on anything else you think would be helpful to the admissions committee.
Name of Respondent
(Please print or type)
Position/Title
Institution/Organization
Home Address (Street, R.R., or PO Box)
City State Zip
Primary Email Address
Home Phone Work Phone
Cell Phone Fax
Signature Date
Please return completed form to:
Email: recommendations@indwes.edu
Indiana Wesleyan University
Graduate Admissions – Doctorate of Organizational Leadership
1900 West 50th Street
Marion, IN 46953
Fax: 765.577.7501
Phone: 866.498.4258
DOCTORATE OF ORGANIZATIONAL LEADERSHIP
RECOMMENDATION FOR ADMISSION continued