RECOMMENDATION FORM
Master of Health Administration
For Admission to Graduate Studies at Montana State University-Billings
Under the Family Education Rights and Privacy Act of 1974, the candidate named below will have access to this recommendation
unless he/she has waived that right by signing below. If the waiver is signed, this recommendation will be kept confidential from the
candidate.
To the Applicant: Complete this section and sign. Please print the following information
Candidate's Name:
ID#
Phone #
I Waive
Do Not Waive my right to review this letter of recommendation.
Signature Date
To the Writer: Please complete this form and attach it to your letter of
recommendation.
How long have you known the applicant?
In what capacity do you know the applicant?
Please check one rating for each criterion.
Outstanding
Above Average Average Below Average Unable to rate
Originality and intellectual creativity
Maturity
Analytical Skills and critical thinking
Teamwork
Professionalism
Behavioral Flexibility
Decision Making
Oral Communication
Written Communication
Leadership Ability
Motivation for lifelong learning
Potential to contribute to Health Care Field
Commitment to working with socially and
ethnically diverse groups
PLEASE USE REVERSE TO FURTHER EXPLAIN ANY OF THE ABOVE.
Writers Name:
Organization:
Title:
Address:
Phone:
Email:
Return to: Office of Graduate Studies, Montana State University-Billings, 1500 University Drive, Billings, MT 59101
Print Form
II. Letter of Recommendation
In the space provided or as a separate letter, please assist in providing a complete picture of the applicant's ability and potential by making some observations on such
matters as capacity for graduate study, present achievements, and job competence. Comment upon any personal interest that might lead to a better understanding of the
applicant.
Signature of Respondent:
Date:
____________________________________________________________________________________________________________
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