Fillable Recommendation for Graduate Study in Education (Keene State College)

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Recommendation for Graduate Study in Education (Keene State College)

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The Recommendation for Graduate Study in Education (Keene State College) form is 2 pages long and contains:

  • 2 signatures
  • 72 check-boxes
  • 27 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Keene State College

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DIRECTIONS FOR APPLICANT
1. Please complete the APPLICANT INFORMATION section below and submit it, along with page two of the recommendation
form, to three different professional references. A professional reference may include college or university professors, employers
or supervisors, and professional colleagues. Members of your family and friends are not considered to be professional
references.
2. Letters of recommendation written for employment are not acceptable.
APPLICANT INFORMATION
Name of applicant ______________________________________________________________________________________________
Street, city, state, zip ___________________________________________________________________________________________
Date of birth or Social Security number ____________________________________________________________________________
Phone _________________________________________________ E-mail _______________________________________________
Selected KSC program _________________________________________________________________________________________
Applicant signature _________________________________________________________ Date ____________________________
DIRECTIONS FOR REFERENCE
1. Please complete the REFERENCE INFORMATION section at the bottom of this page.
2. On page two of this form please rate the applicants Professional Dispositions and include comments.
3. Please submit an appraisal of the applicant’s potential to be an effective graduate student and professional educator. Your
appraisal may be included in a letter of recommendation or on a separate sheet of paper.
4. Return the completed recommendation form (two pages) and attached appraisal to:
Keene State College, Graduate Admissions, 229 Main St., Keene, NH 03435-2605
How long have you known the applicant? __________________________________________________________________________
In what capacity? ______________________________________________________________________________________________
REFERENCE INFORMATION
Name of reference _______________________________________________ Job title ____________________________________
Street, city, state, zip ___________________________________________________________________________________________
Phone _________________________________________________ E-mail _______________________________________________
Reference signature ________________________________________________________ Date ____________________________
1 of 2
Recommendation for Graduate Study in Education
Graduate Admissions | Keene State College
229 Main Street | Keene, NH 03435-2605
Phone: 603-358-2497 | Fax: 603-358-2569
gradstudies@keene.edu | keene.edu/gradstudies/
Wisdom to make a difference.
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Please evaluate the applicant’s professional dispositions by circling the appropriate number using the scale below.
Strongly Disagree 1 2 3 4 5 Strongly Agree NA – not applicable
2 of 2
5/14
Professional Dispositions Scale Comments – please elaborate
The applicant exhibits clear and
accurate communication skills
(e.g., listening, writing, speaking).
1 2 3 4 5 NA
The applicant works cooperatively
and collaboratively.
1 2 3 4 5 NA
The applicant presents appropriate
professional appearance and
demeanor.
1 2 3 4 5 NA
The applicant exhibits enthusiasm
and passion for students and
teaching.
1 2 3 4 5 NA
The applicant is committed to
lifelong learning and service to
the community.
1 2 3 4 5 NA
The applicant demonstrates clear
understanding of legal and moral
obligations of the profession.
1 2 3 4 5 NA
The applicant demonstrates
understanding of and is open to
diverse perspectives.
1 2 3 4 5 NA
The applicant demonstrates
respect, empathy, and caring for
others.
1 2 3 4 5 NA
The applicant accepts
responsibility for his or her own
actions.
1 2 3 4 5 NA
The applicant is present, punctual,
and prepared.
1 2 3 4 5 NA
The applicant demonstrates
consistent integrity and honesty.
1 2 3 4 5 NA
The applicant exhibits willingness
to work diligently to achieve
success.
1 2 3 4 5 NA
Recommendation for Graduate Study in Education
Wisdom to make a difference.
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Recommendation for Graduate Study in Education (Keene State College)

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Completed 22 August 2020

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