Fillable SMSU COLLEGE NOW STUDENT APPEAL - REFERENCE FORM (Southwest Missouri State University)

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SMSU COLLEGE NOW STUDENT APPEAL - REFERENCE FORM (Southwest Missouri State University)

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SMSU COLLEGE NOW
STUDENT APPEAL - REFERENCE FORM
APPLICANT:
Provide this recommendation form to a faculty member or staff who knows you well. Please discuss your
College Now class plans with the reference and provide him/her with your application materials and any
further information requested. Give your recommender ample time to complete this form.
PLEASE NOTE: In sharing this form with a reference, you waive your rights to inspect and review this
recommendation form, with the understanding that the document will be used only for purposes of evaluating
your qualifications for the proposed class(s), and will not be available to any other institution or private party.
FACULTY OR STAFF RECOMMENDER:
This confidential form is a component of the student’s appeal for the College Now program and
will NOT become part of this student’s permanent record. We ask that you be please be open‐minded, and
candid in your appraisal of the applicant.
Student Name
Student High School
Reference Name
Reference Email Address
Reference Title
Which College Now class(es) is the student appealing for? (ONLY select up to 2)
1.
2.
In what capacity do you know the applicant? (Select all that apply)
Counselor
Instructor: (list course/s)
Other: (describe)
Below
Average
Average
Above
Average
Superior
Unable to
Evaluate
Student academic
knowledge in
chosen field
Student ability to
work with others
Student
perseverance and
self-motivation
Student ability to
accept criticism
Based on your knowledge of the applicant, does she/he/they possess the ability and level of
inquiry to succeed in the proposed college now classes?
Yes No
Overall assessment: On a Scale of 1-5 with 1 being the lowest and 5 being the highest, please
rank your overall recommendation of this student for this course:
1 2 3 4 5
Please provide any additional comments you would like to make in reference to the applicant’s
overall potential success in this program.
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SMSU COLLEGE NOW STUDENT APPEAL - REFERENCE FORM (Southwest Missouri State University)

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Completed 26 August 2020

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