Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
City/State:_____________________________________________________Zip:____________________
HomePhone: ______________________________ Cell Phone: _________________________________
Email Address: ____________________________________________________________
What semester are you applying for? Fall ________ Spring ________ Summer_______
Please specify graduate program: (please check box)
Biology (M.S.)
Education,
General (Ed.S.)
Special Education
(M.Ed.)
Plant & Soil
Science (M.S.)
Reading (Ph.D.)
Business
Administration
(MBA)
Elementary
Education
(M.Ed.)
Family &
Consumer
Sciences (M.S.)
Plant & Soil
Science
(Ph.D.)
Systems and Materiel
Engineering (M.Eng.)
Communications
Specialist (M.S.)
Instructional
Leadership
(M.Ed.)
Food Science
(M.S.)
Physics (M.S.)
Urban & Regional
Planning (M.U.R.P.)
Communicative
Sciences and
Disorders (M.S.)
Pre-Elementary
Education
(M.Ed.)
Food Science
(Ph.D.)
Applied Physics
(Ph.D.)
Computer Science
(M.S.)
Secondary
Education
(M.Ed.)
Kinesiology
(M.S.)
Counseling
Psychology
(M.S.)
All Social Work majors, please refer to the Social Work packet for required reference form.
I waive____ /do not waive____ my rights to access the information on this recommendation form. The information
will be reviewed by the admissions committee.
Applicant Signature: ________________________________________________ Date: ______________
Reference Eva
luation
Please complete this reference form for the above applicant. The following information is used by our Academic
Admission Committee to evaluate the academic and personal strengths of this individual. This evaluation form is
completely confidential. We appreciate your participation.
ALABAMA A&M UNIVERSITY
GRADUATE STUDIES (256-372-5266)
GRADUATE ADMISSION REFERENCE FORM
LAST FIRST MIDDLE MAIDEN NAME
year
year
year
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Describe your relationship with the applicant. How well do you know him or her?
What are so
me strengths of the applicant? Please give specific examples of accomplishments that prove his or her ability
to excel in our program.
What are so
me attributes upon which the applicant can improve?
Please evaluate the applicant on the following items: (by placing an "X" mark)
Average
Below Average
Poor
Analytical skills
Emotional stability
Ethical performance
Intellectual ability
Leadership skills
Motivation
Reputation
Verbal
communication skills
Written
communication skills
If you wish, you may attach additional comments regarding the applicant.
Signature: ______________________________________________ Date: ___________________
Please print name: ______________________________ Title: __________________________
Address:____________________________________________ Phone Contact:__________________
Thank you for your cooperation. For additional information please contact the School of Graduate Studies
at 256-372-5266, or email gradschool1@aamu.edu.
Please send the recommendation via email to gradschool1@aamu.edu, fax to (256) 372-5269
or mail to P.O. Box 998, Normal, AL 35762.
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