APPLICANT:
(Note: Recommendations will also be accepted on letterhead from the recommender and may be mailed to the Graduate
Admissions office on the campus for the program to which you applied. Letters of recommendation may also be emailed to
grad@fdu.edu.)
If you wish to use this form in lieu of a recommendation on letterhead, please duplicate this form, complete the top
portion and give it to your recommender. For his/her convenience, you should provide a stamped envelope addressed to
the FDU campus to which you are applying for admission. Please check the appropriate campus:
Metropolitan Campus
Graduate Admissions Office, Fairleigh Dickinson University
1000 River Road, T-KB1-01, Teaneck, NJ 07666
Florham Campus
Graduate Admissions Office, Fairleigh Dickinson University
285 Madison Avenue, M-RI0-01, Madison, NJ 07940
Name ____________________________________________________________________________________________________________
Last First M.I. Maiden Name
Degree program sought: ____________________________________________________________________________________________
Name of person submitting student’s recommendation: ________________________________________________________________
Confidentiality: This form will be retained in the student’s file, should the applicant matriculate. In accordance with the Family
Educational Rights and Privacy Act of 1974, matriculating students do have access to their permanent files, which may include
such forms as this. Fairleigh Dickinson University does not provide access to admissions records to applicants, students who are
denied admission or students who decline an offer of admission. Many thanks for your comments and assistance.
______________________________________________________________________________________ ____________________
Applicant’s Signature Date
RECOMMENDER:
Your candid responses will help to evaluate the applicants qualifications for admission to the
graduate program listed above. Thank you for completing this form.
1) How long have you known the applicant and in what capacity?
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(continued)
RECOMMENDATION FORM FOR GRADUATE ADMISSION
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2) Based upon your observation, how would you rate the applicant on the following characteristics:
3) How would you endorse the applicant’s request for admission?
Highly Recommend Recommend Recommend with Reservation
Do Not Recommend No Basis for Recommendation
4) Please indicate below or attach a separate page for other information you may wish to provide, including an
explanation of the overall recommendation checked in #3 or other characteristics related to success in the
applicant’s proposed field of study.
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Recommenders Name ____________________________________________ Date __________________________________________
Signature ________________________________________________________ Title __________________________________________
Institution or Affiliation____________________________________________ Phone ________________________________________
City ____________________________________________________________ State____________ Zip Code ____________________
Email Address ______________________________________________________________________________________________________
EXCELLENT ABOVE
AVERAGE
AVERAGE BELOW
AVERAGE
NO BASIS
FOR JUDGMENT
SKILLS
Analytical
Reasoning Skills
Verbal Skills
Writing Skills
Research Skills
Maturity
Leadership
Responsibility
( )
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