Recommendation Form
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Name of HCOP Program Applicant: *
Recommender Type: *
Number of years known: *
Relationship to Student: *
The academic ranking of the applicant: *
Please rank the applicant on the following traits, relative to the other students you have taught. *
Characteristic
Excellent
Good
Average
Fair
Poor
N/A
Intellectual Ability
Communication Skills
Emotional Stability
Comprehension
Accuracy/ Attention to Detail
Maturity/Judgment
Motivation/Perseverance
Dependability
Cooperative Attitude
Leadership (Potential)
The applicant is *
Brief description of your reasons for recommending this student. *
Recommended By:
Name: *
Title: *
Email: *
I hereby certify that the information provided on this recommendation form is accurate to the best of my knowledge. I understand that providing false information can result in dismissal of the applicant's possible admission into the program. I understand that submitting this recommendation does not guarantee admission for the applicant into the program. *
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