Recommendation Form: Master of Arts in Teaching
Applicant, please print or type the following information:
Applicant Name Applicant Email
Name of Evaluator Evaluator’s Email Address
Evaluator Position/Institution
I waive my right to review or access letters and statements of recommendation written on my behalf. □ Yes □ No
Evaluation Type: □ Academic/Professional □ Experience with Children/Youth
To the Evaluator:
Directions: Complete the following prompt and return the completed document one of the following ways: 1) email as a saved .pdf to, 2) mail a printed document to the address above, or 3) upload your document via SENDedu. All recommendations must be
signed and submitted by the recommender to be considered valid. (Please send/upload a separate letter if you need more room to provide your
Based on your direct observation of the applicant (as an academic instructor/professional supervisor or in relation to the
applicant’s experience with children/youth), please evaluate the applicants preparation, intelligence, originality, research skills,
and other pertinent qualities.
Summary Rating: Excellent Above Average Average Below Average Poor
Name of Evaluator* Date
* If you are submitting this form electronically, printed name serves as your signature.
In its educational policies, programs, and procedures, the University provides equal opportunity for all its students without regard to race, color, religion, sex,
age, disability, or national or ethnic origin.
Graduate School
Office MSC #177
5000 North Willamette Boulevard
Portland, Oregon 97203-5798
503.943.7107 / TDD 503.943.7484