Fillable University of Hawaii DNP Letter of Recommendation

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University of Hawaii DNP Letter of Recommendation

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The University of Hawaii DNP Letter of Recommendation form is 2 pages long and contains:

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  • 112 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

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University of Hawaii Hilo School of Nursing
DOCTOR OF NURSING PRACTICE
Letter of Recommendation
PLEASE PRINT OR TYPE
To the Applicant: Please complete this section and deliver to 3 professionals such as physicians, instructors, employers,
or clini cal supervisors. It is recommended that you select persons with advanced degrees such as MD, masters, or
doctoral level to complete this form who can address your potential or ability to function in the advanced practice
nursing role.
Name of Applicant: ____________________________________ ______________________________ ______
Last name First Name MI
In accordance with the Family Education Rights and Privacy Act, if accepted and enrolled you have the right of access to
any and all letters of recommendation. Waiver of this right is voluntary.
Applicant: Please sign below to make this a confidential recommendation by waiving your right of access.
Signature: _____________________________________________ Date: ____________________
To the Recommender: The person whose name appears above is seeking admission to the Doctor of Nursing Practice
program in the School of Nursing at the University of Hawai’i at Hilo and is requesting your evaluation as part of the
application and selection process. Please provide your candid appraisal of the applicant’s strengths and limitations
with regard to the applicant’s potential as a graduate student and an advanced nurse.
Name of Recommender: _______________________________________________________________________________
Position/Title: _______________________________________________________________________________
Agency/School/Organization: _______________________________________________________________________________
Address: _______________________________________________________________________________
Length of time and capacity
in which you have known the
applicant: _______________________________________________________________________________
☐ strongly recommend that the applicant be admitted to the UH Hilo DNP Program
☐ recommend that the applicant be admitted to the UH Hilo DNP Program
☐ recommend with reservations that the applicant be admitted to the UH Hilo DNP Program
☐ do not recommend that the applicant be admitted to the UH Hilo DNP Program
Signature: ____________________________________________ Date: _____________________
UNIVERSITY OF HAWAII AT HILO: 200 West Kawili St. Hilo, HI 96720 TEL: (808) 974‐7414 TOLL FREE: (800) 897‐4456 FAX: (808) 933‐0861
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Re: ______________________________________________________________________________________
Scholastic Aptitude
Ability to think clearly and logically and able to
make decisions
Ability to comprehend theoretical concepts
Ability to assimilate theoretical concepts and
apply to practice
Outstanding
Above
Average
Average
Below
Average
Poor
Unable to
Rate
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Motivation
Is committed to professional growth
Has
a
positive
work
ethic
Dependability
Ability
to
assume
responsibility:
carry
out
assignments
and
tasks
Resourcefulness and efficiency
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Personal Qualities
Ability to work well as a team member
☐ ☐ ☐ ☐ ☐ ☐
Displays self‐confidence and maturity
☐ ☐ ☐ ☐ ☐ ☐
Evidence of personal integrity
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Ability to be flexible and capable of chan ge
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Ability to exercise sound judgement
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Ability to perform under stress
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Communicates well with others
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Demonstrates honesty, sincerity and empathy
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Courteous and outgoing
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Communicates well, verbal and written
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*In an ATTACHED LETTER, please elaborate on any details you think would help the admissions committee make a
decision regarding this applicant’s suitability for graduate work and a career as an advanced nurse.
Thank you very much for your time and thoughtful consideration in responding to the applicant’s request for your
recommendation.
Mail this form in a sealed envelope with the reference’s signature across the seal by Dec 1 to:
UH Hilo Admissions Graduate Applications
200 W. Kawili Street
Hilo, HI 96720
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University of Hawaii DNP Letter of Recommendation

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Completed 21 December 2019

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