University of West Florida
PROFESSIONAL REFERENCE FORM
Doctor of Education
Please mail or email the completed form to:
University of West Florida
Graduate School, Building 11
11000 University Parkway
Pensacola, FL 32514-5751
Email: gradadmissions@uwf.edu
Applicant’s Name:
UWF Student ID # (Not SSN):
Applicant’s Address:
Day Telephone: Evening Telephone:
I AM APPLYING TO THE DOCTORATE IN CURRICULUM & INSTRUCTION:
Physical Education & Health
Instructional Design & Technology
Administration & Leadership Studies
(Select one specialization):
Curriculum and Assessment
Other _________________________________
Name of Evaluator:
____________________________
Institution/Company:
______________________________
*
According to the Family Educational Rights and Privacy Act of 1974, the applicant has a right of access to information provided in a letter
of
recommendation. The applicant also has the option to waive this right and subsequent access to this information. Waiver of this right is
NOT a condition of admission and each application will receive full and equal consideration, regardless of the decision regarding this waiver.
I waive my right to view the content of this letter. I understand that the decision itself will not affect the decision of the
Admissions Committee.*
I do not waive my right to view the contents provided in the letter of reference by the above named referee. I
understand that the decision itself will not affect the decision of the Admissions Committee.*
Applicant’s Signature
Date
EVALUATOR: (Please complete this portion and select the "SUBMIT" button to return the form to the UWF Graduate School.)
Evaluator’s name:
Position:
Institution/Company:
Address:
Telephone: E-mail:
What is your relationship to the applicant?
Teacher
Supervisor Academic Advisor Employer Other (please explain)
How well do you know the applicant?
Not well Somewhat Well Very Well
How long have you known the applicant?
Is the applicant’s scholastic record, as you know it, an accurate index of his/her scholastic potential?
YES NO
If no, please explain
The department requires three professional references to complete the recommendation form. At least
two references should be able to speak to your academic work, writing skills and suitability for rigorous
doctoral academic work. Please provide the recommendation form to your references and ask that they
complete the form and send it directly to Graduate Admissions at gradadmissions@uwf.edu.
03/03/2017
