skip to Main Content
KP Nurse Scholars Academy | Kaiser Permanente Northern California Kaiser Permanente Nurse Scholars Academy
  • About MHSA
    • About MHSA
    • Our Team
    • Contact Us
    • News and Events
  • Our Programs
    • Degree Programs
      • MFT
      • LPCC
      • LCSW
      • PsyD, PhD, EdD
    • Continuing Education
    • MHSA Mentorship Program
    • FAQs
  • Resources
  • Apply
  • Search

Mental Health Scholars Academy Letter of Recommendation Form

  • 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.
  • 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:
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • (e.g. writing, aptitude, timeliness, critical thinking, etc.)
    OutstandingSuperiorGoodFairPoorUnable to judge
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • OutstandingSuperiorGoodFairPoorUnable to judge
  • Recommender

  • Hidden
  • 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.
  • MM slash DD slash YYYY
    Enter today's date.
  • This field is for validation purposes and should be left unchanged.

Kaiser Permanente Mental Health Scholars Academy

© 2022 Kaiser Permanente. All rights reserved.
Web site produced by Kaiser Permanente Northern California Multimedia Communications

  • Accessibility
  • Nondiscrimination Policy
  • Privacy Statement
  • Terms and Conditions
  • KP.org
  • Our Impact
    • Academic Progression
    • Community Health and Workforce of the Future
    • Evidence-Informed Practice and Research
    • Leadership Development
    • Professional Development & Education
    • Professional Practice
  • Our Story
    • Caring Science/HeartMath
    • Legacy
    • Nurse Scholars
    • VISIONS Nursing Report
  • Our Community
    • Academic Partners
    • Caritas Consortium
    • Deloras Jones Scholarship
    • Nurse Residency Program
    • Youth Career Day
  • About
    • Our Mission
    • Our Team
    • News
    • Contact Us
  • Our Programs
    • Programs for KP Employees (Represented)
    • Programs for KP Employees (Non-Represented)
    • Programs for the Community
Back To Top