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Practical Nursing Reference Form
Please provide your estimate of the applicant's suitability for nursing. Your comments will be kept for use only by the admissions committee of this school of nursing. All responses will be sent directly to the school and will not be shared with the applicant. Thank you.
Name of Applicant (First, Middle, and Last) *
Your answer
Your Name *
Your answer
Your Position/Title *
Your answer
Date *
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How long have you known the applicant and in what capacity? *
Your answer
What do you consider the chief strengths and weaknesses of the applicant? *
Your answer
Please comment on the applicant's ATTITUDE: *
Your answer
Please comment on the applicant's CHARACTER: *
Your answer
Please comment on the applicant's ABILITY TO WORK WITH OTHER PEOPLE: *
Your answer
Please comment on the applicant's DEPENDABILITY: *
Your answer
Additional comments:
Your answer
Would you recommend this individual? *
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