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Threshold Program Admissions
29 Everett Street
Cambridge, MA 02138
617.349.8182
THAdmissions@lesley.edu
Please Type or Print Legibly
Name
Address
Organization
How long have you known the applicant?
In what capacity?
Are there any limitations that would prevent this applicant from being involved in physical activities essential to
her/his vocational training goals? Yes No
Comments:
Threshold Program Recommendation Form For:
________________________________________________________________________________________________________________________________________________________________________________________________________________
Name of Applicant
The above-named individual has applied for admission to the Threshold Program, a comprehensive two-year certicate
program at Lesley University for highly motivated young adults with diverse learning disabilities and other special needs.
Threshold students are high school graduates who typically have received extensive special services in either private or
public schools, yet each would likely have considerable diiculty succeeding in a traditional University degree program.
Threshold students must possess suicient emotional stability and maturity to participate successfully in the program.
With the above information in mind, please answer the following questions to the best of your ability. Use additional
pages if more writing space is needed.
If possible, one reference should come from an employer or work supervisor. Other possible reference writers include
a psychotherapist or social worker. Suitable recommendation writers are people who have known the applicant for at
least six months. Relatives/ family friends are not a suitable reference.
The form can be emailed to THAdmissions@lesley.edu, or sent via regular mail to the Coordinator of Admissions,
Threshold Program, Lesley University, 29 Everett Street, Cambridge, MA 02138- 2790.
First
Last
Country
Street Apt#
City State Zip
Phone (w/area code)
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How likely is it that the parents/guardians of this candidate will support the philosophy and goals of the Threshold
Program? Unlikely Quite likely Highly likely
Comments:
Please rate the applicant on the following characteristics on a scale of one to ve (with one low and ve high).
Enter your ratings under the categories to which you feel qualied to respond.
General(EXAMPLE) School Job Home/Leisure
Initiative 3 2 N/A
Motivation 4 3 N/A
General
School Job Home/Leisure
Initiative
Motivation
Reliability
Perseverance
General Attitude
Comments:
Interpersonal
Ability to relate to:
School Job Home/Leisure
Peers with ID
Peers without ID
Teachers
Work supervisors
Young children
Elderly people
Comment on style of interaction and specic strengths and weaknesses in social interactions:
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Emotional Adaptability
Ability to:
School Job Home/Leisure
Cope with stress
Adjust well to new situations
Separate own problems from problems of others (avoid taking
things personally)
Comments:
(Be specic: what types of situations does the applicant nd stressful? What coping mechanisms are used?
Time Management and Organization
Ability to:
School Job Home/Leisure
Attend to daily schedule (arrives at places on time, etc.)
Plan and carry out activities
Prioritize
Keep track of belongings
Find way around new settings/sense of direction
Comments: (Be specic about the nature of any diiculties and the kind of supervision required to cope.)
Please describe the applicant’s learning style, including how she/he approaches tasks and compensates for her/
his learning disabilities.
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For Employer/Vocational Trainers only. Educators please skip to next section; all others please sign bottom
of this page.
Please describe the nature of the work setting in which you observed the applicant
(e.g., day care center, hospital, retail establishment, etc.
Please describe specic tasks performed by the applicant;
whether the job was a paid or volunteer position; hours/week worked.
What were the applicant’s strengths and weaknesses on the job?
For Educators Only
Please describe the applicant’s academic strengths and weaknesses.
I CERTIFY THAT ALL THE INFORMATION IN THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Signature _______________________________________________________________________________________________
Lesley University is an Equal Opportunity/Airmative Action institution. The University administers all its policies regarding admission, education, school
activities, employment, and promotion without regard to race, color, sex, sexual orientation, religion, national origin, age, disability, or veteran status.