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Reference in support of an application to
the School of Nursing Northern Baccalaureate Nursing Program
Using the scale provided, please rank the applicant for
each category as follows:
Academic Preparation Ranking:
Interpersonal Skills Ranking:
Attitude Ranking:
Critical Thinking Ranking:
0 = not at level needed for BScN Study
1 = poor
2 = below average
3 = average
4 = good
5 = very good
n/a= you are unable to comment on the
category
Please provide comments:
1. What do you see as the strengths the applicant would bring to the nursing profession?
2. What do you see as areas of weakness this applicant may benefit from addressing in order to
perform competently as a student and professional nurse?
UNBC Student Number
(if applicable):
Name:
To be completed by
Applicant:
Home Phone:
Work Phone:
Email:
How long have you known
the applicant?
What is your relationship to the applicant?
Name:
Occupation:
Remainder of form to be completed by
Referee:
Signature of Referee:
Date:
NOT for return to Applicant. Please email form DIRECTLY to nursing-admissions@unbc.ca
Application
Deadline:
January 15th
Clear Form
click to sign
signature
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