School of Nursing and Healthcare Professions
Recommend an Applicant
pre-licensure Accelerat
ed Bachelor of Science in Nursing
Recommendation forms received by the School of Nursing & Health Professions are the property of Brandman University. They are
confidential and will only be reviewed by the faculty on the Brandman Admissions Committee or in an advisement position.
PAGE 1
Appropriate References include the following:
1. Your m
ost recent employer/supervisor.
2.
A professor who can assess your academic achievements.
3.
A professional person or colleague (not a relative) who is well acquainted with your work ethic and/or academic
achievement.
Last Name
First Name
Address
City, State Zip Code
Email Address
Primary Phone(###-###-####)
Do you wish to waive your right to examine this recommendation?
Yes No
Under the Family Educational Rights and Privacy Act of 1974, students have access to their education record, including
recommendations. However, students may waive their right to view these recommendations, in which case they will be held in
confidence.
Last Name
First Name
Email Address
Primary Phone(###-###-####)
How long have you known the applicant?
In what capacity do you know the applicant?
Years / Months
Professionally / Academically
Company / Organization
Position / Title
Address
City, State Zip Code
Recommendation Waiver
Recommendation forms received by the School of Nursing & Health Professions are the property of Brandman University. They are
confidential and will only be reviewed by the faculty on the Brandman Admissions Committee or in an advisement position.
PAGE 2
Please select one item under each category.
CREATIVITY
1 Fails to incorporate new information
2 Maintains status quo; requires assistance with new information
3 Supports the development of new ideas; deals adequately with information
4 Contributes to development of new ideas; grasps new information
5 Generates new ideas; grasps new information easily
CANNOT JUDGE
INITIATIVE
1 Requires detailed instruction; dependent on others
2 Frequent supervision required; relies on others
3 Routine worker; requires supervision on new tasks
4 Resourceful; independent; paces self
5 A self-starter; seeks additional tasks
CANNOT JUDGE
ACCURACY
1 Makes f
requent avoidable errors
2 Work is inaccurate
3 Adequate level of accuracy; occasional errors
4 Seldom makes an error; careful
5 Always accurate; work shows great attention to detail
CANNOT JUDGE
COMMUNICATION
1
2
3
4
5
Difficulty communicating ideas and intentions to others
Acceptable communication with others under normal circumstances
Communicates clearly with others under unusual circumstances
Communicates clearly to multiple audiences under unusual circumstances
Clear expression of ideas even under stress and can translate communication of others (negotiator) to multiple
audiences
CANNOT JUDGE
School of Nursing and Healthcare Professions
Recommend an Applicant
pre-licensure Accelerated Bachelor of Science in Nursing
Recommendation forms received by the School of Nursing & Health Professions are the property of Brandman University. They are
confidential and will only be reviewed by the faculty on the Brandman Admissions Committee or in an advisement position.
PAGE 3
PERSEVERANCE
1
Changes objectives; unable to complete tasks without direction
2
Not well focused; rarely completes tasks without direction
3
Usually focused; completes most tasks; requires some direction
4 Focused; completes tasks with only appropriate direction
5 Focused on objectives; completes tasks; overcomes obstacles
CANNOT JUDGE
ORGANIZATION
1
Unable to prioritize tasks; disorganized work habits
2
Variable efficiency in managing tasks
3
Reorganizes efficient ways of accomplishing tasks with some direction
4 Organizes work and accomplishes tasks with minimal direction
5 Prioritizes and accomplishes tasks independently
CANNOT JUDGE
PRODUCTIVITY
1
Insufficient; needs prodding
2
Does only required minimum
3 Good, average output
4
Usually does more than required
5
Energetic; highly productive
CANNOT JUDGE
LEADERSHIP
1
Does not understand how to get cooperation; poor discipline, too lax or severe
2
Frequent difficulty in obtaining cooperation; difficulty getting job done
3 Receives routine cooperation; gets satisfactory job done
4 Influences and inspires others; get job done well
5 Forceful leader; promotes top performance from others
CANNOT JUDGE
JUDGMENT
1
Poor judgment; likely to make illogical decisions
2
Fair judgment under normal circumstances; sometimes acts before thinking
3 Judgment good on routine matters
4 Thinks clearly and positively under unusual circumstances
5
Logical; sound judgment
CANNOT JUDGE
ADAPTABILITY
1
Has considerable difficulty in adjusting to any assignments
2
Has some difficulty when shifted to new/different assignments
3
Average amount of guidance needed to learn variety of duties
4 Usually learns new assignments with normal supervision
5 Highly flexible; can handle many varied assignments
CANNOT JUDGE
School of Nursing and Healthcare Professions
Recommend an Applicant
pre-licensure Accelerated Bachelor of Science in Nursing
Recommendation forms received by the School of Nursing & Health Professions are the property of Brandman University. They are
confidential and will only be reviewed by the faculty on the Brandman Admissions Committee or in an advisement position.
PAGE 4
STRESS TOLERANCE
1
Easily irritated; finds pressures intolerable
2
Occasionally goes to pieces under pressure; is “jumpy” and nervous
3
Has average tolerance for crises; usually remains calm
4
Tolerates pressures; tolerates crises better than most
5
Thrives under pressure; enjoys challenges and problems
CANNOT JUDGE
DEPENDABILITY
1
Unreliable; needs detailed supervision and follow-up
2
Somewhat unreliable; requires occasional check on routine tasks
3
Usually can be depended on, but must be checked on important matters
4
Usually meets responsibilities carefully and correctly
5
Merits utmost confidence
CANNOT JUDGE
OVERALL POTENTIAL FOR UNDERGRADUATE STUDY
1
Unlikely to be successful in undergraduate studies
2
Likely to have some difficulties in undergraduate studies
3
Has potential for success in undergraduate studies
4
Likely to be successful in undergraduate studies
5
Very likely to be successful in undergraduate studies
CANNOT JUDGE
Addi
tional Comments about the applicant:
School
of Nursing and Healthcare Professions
Recommend an Applicant
pre-licensure Accelerated Bachelor of Science in Nursing
Recommendation forms received by the School of Nursing & Health Professions are the property of Brandman University. They are
confidential and will only be reviewed by the faculty on the Brandman Admissions Committee or in an advisement position.
PAGE 5
By submitting this recommendation, I certify that I am the individual identified on this form. I authorize the Office of
Admission to process this recommendation.
Si
gnature
: Date:
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Click the Submit button to open your email browser. The form will be automatically attached to the email, and will be sent
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of Nursing and Healthcare Professions
Recommend an Applicant
pre-licensure Accelerated Bachelor of Science in Nursing
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