VCU School of Nursing – Reference form

Reference form – Student did not waive right to inspect

Recommender instructions: Please fill out the electronic recommendation form, in its entirety, including the application information section. When finished, make sure to submit the form using the button at the bottom of the page to add the recommendation to the applicant’s record. You and the applicant will receive an email confirmation upon submission. Please contact the Undergraduate Admissions Office at SONUGRAD@vcu.edu if you experience issues with submitting this form.

Applicant information

Must match exactly the information you provided on your VCU undergraduate application for admission.

Semester of entry:

Spring/January

Summer

Fall/August

First name:

Middle initial:

Last name:

Date of birth: (mm/dd/yyyy)

Email for School of Nursing correspondence:

Address:

City:

State:

ZIP code:

Entry level:

Accelerated B.S.

Traditional B.S.

R.N.-B.S.

The School of Nursing values your comments on the suitability of this applicant to do undergraduate work.

Reference:

AcademicProfessional (Personal references are not accepted.)

How long, and in what capacity, have you known the applicant?

Please carefully assess the applicant in the following areas. In making your assessment, compare the applicant to other individuals you have known who have similar levels of experience and education.

Assessment area

Superior

Good

Average

Poor

Unknown

Intellectual ability

Ability to analyze a problem and format a solution

Competence in applicant’s general field

Self-reliance

Leadership

Creativity/innovation

Motivation

Self-discipline

Cooperativeness

Oral communication skills

Written communication skills

Initiative

Reliability

Integrity

Your overall assessment of the applicant as to his or her ability to complete a baccalaureate degree in nursing:

Highly recommend

Recommend without reservation

Recommend with reservation

Do not recommend

Please use the space below to elaborate on the applicant’s qualifications. You can see that we are greatly interested in obtaining an accurate profile of the applicant’s capability for undergraduate study. We realize that check-off items sometimes do not provide you the opportunity to characterize the applicant as fully as you would like. Please give any additional comments. We especially appreciate comments on the applicant’s intellectual capability, motivation for seeking an undergraduate degree in nursing, and likely tenacity in following through with the opportunity for nursing education (e.g., perseverance, work habits, organization). In addition, since the applicant is applying to a professional curriculum, we are interested in your comments about the applicant’s professional attitude and behavior.

Name:

Institution:

Your position:

Phone:

Email:

Submit