Letter of Recommendation MHSA

Applicant

Information about the Mental Health Scholars Academy applicant.

Applicant Name:

Degree Program:

Mental Health Scholars Academy program website:

Evaluation

The person named above has made application for graduate study and tuition support through the Mental Health Scholars Academy (MHSA). We would greatly appreciate your candid appraisal of the applicant.

How long have you known the applicant?*

In what capacity?*

Note: Please be as specific as possible (e.g. professor, manager, supervisor, mentor, etc.).

Please provide a rating (Outstanding, Superior, Good, Fair, Poor, Unable to judge) based on your perception of the candidate for the following characteristics:

Self-Motivation*

Emotional Intelligence*

Professionalism*

Judgment and Decision-making*

Academic Preparedness*

(e.g. writing, aptitude, timeliness, critical thinking, etc.)

Time Management and Organization Skills*

Empathy and Concern for Others*

In 3-4 sentences, please describe why this person is a good candidate for the Mental Health Scholars Academy (please include any special qualities, skills, academic preparedness, or qualifications that contribute to your recommendation).*

What are this candidate’s strengths?*

What would you consider to be the candidate's areas of growth and weakness?*

What is your overall recommendation?*

Strongly recommend
Recommend
Recommend with some reservation (please explain)
Do not recommend (please explain)

Please explain your overall recommendation:*

Recommender

Name*

First Last

Email Address*

Recommender's Title/Position*

Phone Number*

Institution/Organization Name*

Hidden

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Electronic Signature*

I Agree

I hereby certify that the information I am submitting is complete and accurate. I understand that checking "I Agree" above acts as my signature on this form.

Date*

Enter today's date.

Phone

This field is for validation purposes and should be left unchanged.

Applicant

Evaluation

Recommender

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