Howard
University
Washington DC 20059
Tel.
202-806-7793
Fax 202-806-4664
(Please type or
print in ink)
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To be completed by applicant |
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_____________________________________________________________________________ Last
Name First
Name
Middle Name _____________________________________________________________________________ Howard University School/College
Major
Degree Sought |
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*Waiver: I hereby waive might to review this document
as provided in the Buckley/Pell Amendment of the Family Educational Rights
and Privacy Act of 1974. ___________________________ ____________________________ _________
Signature
Social Security Number Date |
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*Note: The applicant has the right to
review this document upon request under the Family Educational Rights and
Privacy Act of 1974, as amended by
the Buckley/Pell amendment, unless he/she waives in writing, his/her right to
review this document. |
The above named applicant has suggested that you can assist us in assessing his/her qualifications for study at Howard University. We desire to obtain your candid opinion of the candidate’s intellectual and personal capabilities. Howard University is in compliance with Section 504 of the Rehabilitation Act of 1973 and does not discriminate on the basis of handicap in admission or access to its programs. You are asked not to refer directly or indirectly to an applicant’s handicap.
Please
complete the ranking scale below:
(5)
= Exceptionally High (3) =
Average (1) = Poor
(4)
= Above Average (2) = Below
Average (0) = No basis for
evaluation
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Personal
Traits |
5 |
4 |
3 |
2 |
1 |
0 |
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Personal
Integrity |
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Social
and emotional |
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Ability
to work with others |
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Peers |
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Administrators |
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Promise
of professional growth |
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Leadership
qualities |
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Community
involvement |
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Communication
Skills |
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Oral |
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Writing |
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Scholastic
Aptitude |
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Perseverance
toward goal attainment |
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How
long have you known the applicant and in what capacity? _______
Indicate
strength of overall endorsement by checking the appropriate box:
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Not Recommended Recommended with Reservation Recommended Highly Recommended
Please
summarize your opinion of the applicant with regard to (a) potential for
independent study and research, (b) those aspects of personality and character
that are significant for graduate study, and (c) any other factors that bear on
the applicant’s ability to attain the degree sought and fulfill his or her
career.
Name
(Please Print) _________________________________
Signature
___________________________________
Title
___________________________________ Date
_________________
Address
________________________________________________________________
________________________________________________________________
Please return the completed form to:
Howard
University Divinity School
Director Of Admissions
1400 Shepherd Street NE
Washington, DC 20017
Phone 202-806-0500
Thank you for assistance.