Wilkes University Terminal Degree Programs 1
Fall 2018
Doctor of Education in Educational Leadership,
Doctor of Philosophy in Nursing, & Doctor of Nursing Practice
Recommendation Form
To the applicant: This form is important in your admission to doctoral studies. Please complete your parts as directed
BEFORE giving this form to the recommender. Provide each recommender with a stamped envelope, or email address to
the Graduate Admissions Office contact information indicated above.
Family Education Rights and Privacy Act (FERPA) Buckley Amendment
Under the provision of this Act you have the right, if you enroll in Wilkes, to review your education record. The
Act further provides that you may waive your right to see this recommendation for admission. Please indicate whether you
wish to waive that right or not by checking the appropriate phrase and signing your name.
_____ I waive _____ do not waive any right that I have to this recommendation form.
Applicant’s Signature: __________________________________________________________________
Applicant’s Printed Name: _______________________________________________________________
Print the recommender’s name and title or position: ___________________________________________
This recommender is serving as a reference for:
___ ACADEMIC ___ PROFESSIONAL ___ LEADERSHIP WORK.
Applicant – Do not write below this line.
To the Recommender: You are completing a recommendation focusing primarily on the applicant’s
___ ACADEMIC ___ PROFESSIONAL ___ LEADERSHIP WORK
1. How long have you known the applicant? ____ Less than one year ____more than one year
2. How well do you know the applicant? ____ casually ____ fairly well ____ very well
3. In what capacity have you known the applicant? ___________________________________________
4. Please rate the applicant on the indicators listed below using the following scale:
Criteria
Exceptional
Above
Average
Below
to Rate
a. Previous academic work
b. Potential for doctoral level work
c. Ability to work independently
d. Ability to communicate in writing
e. Ability to communicate verbally
f. Goal-oriented work ethic
g. Professional and ethical behavior
Graduate Admissions
Wilkes University
84 West South St.
Wilkes-Barre, PA 18766
graduatestudies@wilkes.edu
