Fillable MA Couns Psych LOR Form CL ADA J (University of Hawaii at Hilo)

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MA Couns Psych LOR Form CL ADA J (University of Hawaii at Hilo)

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____________________________________________________________________________________________
_______________________________________________________________________________________________
2
University of Hawai‘i at Hilo
Department of Psychology
Letter of Recommendation
Master of Arts in Counseling Psychology
To the Applicant: Please complete this section and deliver to 3 people who know you and can respond to the
questions. It is recommended that you select instructors, employers or clinical supervisors to complete this form.
Name of Applicant: ________________________________________________________
Last First Middle
In accordance with the Family Education Rights and Privacy Act, if accepted and enrolled, you have the right of
access to any and all letters of recommendation. Waiver of this right is voluntary.
Applicant: Please sign below if you wish to make this a confidential recommendation by waiving your right of access.
Signature: __________________________________________________________ Date:_______________________
To the Recommender: The person whose name appears above is seeking admission to the Master of Arts program in
Counseling Psychology at the University of Hawai‘i at Hilo and is requesting your evaluation as part of the application
and selection process. Please provide your candid appraisal of the applicant’s strengths and limitations with regard to
the applicant’s potential as a graduate student and professional counselor.
Mail this form by Jan. 1 to: UH Hilo Graduate Division, 200 W. Kāwili St, Hilo, HI 96720-4091.
Name of Recommender (please print):______________________________________________________________
Position/Title:_________________________________________________________________________________
Agency/School/Organization:_____________________________________________________________________
Address:_____________________________________________________________________________________
Length of time and capacity in which you have know the applicant:_______________________________________
I [ ] strongly recommend
that the applicant be admitted to the UH Hilo MA in Counseling Psychology program
[ ] recommend
[ ] recommend with reservations
[ ] do not recommend
Signature ___________________________________________________ Date ______________________________
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3
Applicant: ____________________________________
Ability to Handle Scholastic Demands Outstanding Above Average Average Below Average Poor Unable to Rate
Ability to think clearly and logically
Ability to comprehend theoretical material
Ability to assimilate theoretical material
comprehend its relevance to real life situations
and
Motivation for Counseling Career
Commitment to professional growth
Desire to help people
Personal Qualities
Ability to cope effectively with his/her own
life stresses
Ability to work with people who are under stress
Ability to assume responsibility; carry out
assignments and tasks; dependability
Demonstrates initiative, resourcefulness
Ability to maintain amicable relationships with
others
Humanitarian orientation: empathy, altruism,
compassion
Ability to exercise sound judgment; emotional
maturity
Evidence of personal integrity
Ability to be flexible and capable of change
Ability to Communicate
Verbal ability
Writing ability
Listening ability
In an attached letter, please elaborate on any details you think would help the admissions committee make a decision
regarding this applicant’s suitability for graduate work and a career in counseling psychology.
Thank you very much for your time and thoughtful consideration in responding to the applicant’s request for your
recommendation.
Revised 12/18/2017
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MA Couns Psych LOR Form CL ADA J (University of Hawaii at Hilo)

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Completed 22 July 2020

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