Fillable Msw Rec Form (Indiana Wesleyan University, Marion)

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Msw Rec Form (Indiana Wesleyan University, Marion)

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MASTER OF SOCIAL WORK
RECOMMENDATION FORM
INDIANA
WESLEYAN
UNIVERSITY
NOTICE OF WAIVER - COMPLETION REQUIRED
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. The applicant’s choice
regarding this recommendation is to be indicated below. Failure to sign will constitute acceptance of limited access.
I elect to retain my right to review this recommendation.
__________________________________________________________ __________________________
Applicant Signature Date
Dear Referee, ____________________________________________________________________________
(Applicant: Print name of individual who will be completing this recommendation form)
You have been selected to provide a recommendation for___________________________________________
(Applicant: Print your name)
Referee: Please give your assessment /opinion of the applicant’s abilities in each of the following areas.
Area of Assessment (mark using an X) Below Average Average Above Average Outstanding
Inadequate
Opportunity to
Evaluate
Academic and intellectual ability to think critically
Academic and intellectual ability to think analytically
Knowledge of NASW core standards Commitment to social change
APA writing skills
Critical thinking skills
Research skills
Ability to work with others
Leadership skills
Self-awareness
Ability to express thoughts, ideas and feelings in writing
Ability to express thoughts, ideas and feelings verbally
Capacity of resourcefulness, creativity and motivation
Capacity to accept constructive criticism and feedback
Responsibility for completing assignments and projects
Appreciation of diversity and commitment to work on behalf of oppressed populations
Ability to effectively manage emotions
INDIANA
WESLEYAN
UNIVERSITY
LETTER OF RECOMMENDATION
In addition to assessing the applicant’s abilities, we request that you provide a brief letter of recommendation addressing the
following questions:
1. What strengths/challenges does the applicant possess that may influence his/her progress and academic
performance in the MSW Program?
2. How would you compare/describe this applicant’s personal/philosophical values/ethics and the congruence
with the values/ethics of social work?
3. In what ways have you observed the applicant’s commitment to social justice?
4. How would you describe the applicant's potential suitability for social work, clinical and professional practice?
_____________________________________________________ _______________________________
(Respondent’s Signature) (Date)
_____________________________________________________ _______________________________
(Agency Organization) (Title/ Position)
_____________________________________________________ _______________________________
(Address/ City/ State/ Zip) (Area Code/ Phone Number)
indwes.edu | 866.498.4968
RETURN REFERENCE TO:
*Failure to sign will constitute acceptance of limited access.
BY EMAIL:
recommendations@indwes.edu
BY FAX:
765.677.2601
BY MAIL:
Adult Enrollment Services
Indiana Wesleyan University
1900 W 50th St
Marion IN 46953-4974
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Msw Rec Form (Indiana Wesleyan University, Marion)

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Completed 23 July 2020

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