Please return to the applicant so he/she may Applications are due February 2
nd
.
send in his/her completed application packet.
University of West Georgia
Ed.D. in Professional
Counseling and Supervision
Letter of Recommendation Form
Section 1: This section to be completed by the applicant.
Name
of
Applicant:
Please Type or Print
Under the provisions of the Family Educational Rights and Privacy Act of l974 (Public Law 93-380), you may decide
whether letters of reference written at your request are to be held confidential, or whether they are to be available for
your personal inspection. Check one of the following statements, and place your signature in the space provided so that
the individual completing this form and Graduate Studies will be advised of your choice.
Confidential. I waive my right of personal access to this reference and grant permission for this letter of recommendation
to be held confidential by the University of West Georgia.
Open File. I retain the choice of having letters of recommendation available to me.
Signature of Applicant: Date:
Section 2: Knowledge of the Applicant.
This section is completed by the person making the
recommendation.
Please TYPE or PRINT.
You have been asked to assess the above person for admission into the Ed.D. program at the University of West Georgia.
This is a very competitive program, and your comments will aid us as we make this important decision. If you would like
to learn more about the program please consider previewing our website at
http://www.westga.edu/eddpcs/. We
have pasted the mission below, so you can connect your comments to the mission of the program. Please complete the
ratings form provided below and if wish you can also submit a written letter addressing the candidate’s leadership skills,
knowledge of his/her field, dispositions, and overall academic and/or professional record.
As you complete this form, keep the mission of the program in mind:
The Mission of the Professional Counseling and Supervision program (Ed.D.) is to prepare
counseling professionals to positively impact their clients and communities of service through effective
practices and programs, leadership, and advocacy.
1. How long have you known the applicant?
_Years Months
Well 2. How well do you know the applicant professionally?
Very Well ___ _ _Casually
3. What is the nature of your relationship? ___________________________________________________________
_____________________________________________________________________________________________
