Study Abroad Reference – Recommender Form

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Waived?*

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Type Of Reference?*

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Student First Name*

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Student Last Name*

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Student Email*

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Off-campus program*

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Enrollment Year*

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Semester*

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Student phone*

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Student college/university*

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Student Major*

Student Summary

Student Name:
Student Email:
Off-Campus Program:
Enrollment Year:
Semester:
Phone:
College/University:
Major:

Please Note: The student has waived any claim to access to letters of reference written on behalf of his/her application to the Asbury University Study Abroad program indicated above. Your responses on this form will be kept confidential, and the student will not have access to your responses on this form.

Please Note: The student has not indicated if they want to waive any claim to access to letters of reference written on behalf of their application By default, the student will not have access to your responses on this form.

Please Note: The student has not waived any claim to access to letters of reference written on behalf of his/her application to the Asbury University Study Abroad program indicated above. Your responses will not be confidential, and your responses on this form will be sent to the student.

Please Note: The student’s application will not be reviewed until this form is submitted.

Your Name*

First Last

Title*

Department*

College/University*

Phone*

Email*

1. Acquaintance

When did you first get to know the student?*

How frequently have you been in contact with the student?*

No contact since when?*

Capacity*

Student in large class/lecture
Student in small class/lecture
Advisee
Interviewee

How do you know this student?*

2. Candidate Description

Describe the candidate as a student.

Please note: Your responses on this form are not confidential, and will be sent to the student.

Assessment*

Comments

Level of academic seriousness and curiosity*

Comments

Basis of Assessment*

3. Communication Skills

How would you rate the candidate's communication skills?

Please note: Your responses on this form are not confidential, and will be sent to the student.

Oral Skills*

Writing Skills*

Basis of Assessment*

Select all that apply.

Coursework
Review of writing
Interview
Reports of others
Observation

Comments

4. Foreign Language Ability

How would you rate the candidate’s foreign language ability in the country where the program will take place?

Please note: Your responses on this form are not confidential, and will be sent to the student.

Oral*

Writing*

5. Motivation

Will the candidate be motivated in his/her studies and work at the program site?

Please note: Your responses on this form are not confidential, and will be sent to the student.

Assessment*

Comments about unmotivation*

Basis of Assessment*

Select all that apply.

Direct knowledge
Reports of others
Records review

6. Self-Reliance and Maturity

The student will be part of a program that lacks the structure of a typical US college/university environment as well as manage different levels of culture shock and other new adjustments. Is this student self-reliant and mature enough to perform well in this type of program?

Please note: Your responses on this form are not confidential, and will be sent to the student.

Self-reliance*

Maturity*

Comments about immaturity/requiring help*

Potential to adjust to life in a large urban environment (e.g. navigating public transportation and the general dynamics of city life)*

Capacity to manage the stress of a foreign setting (new language, currency, culture, etc.)*

Basis of Assessment*

Select all that apply.

Direct knowledge
Reports of others
Records review

7. Spiritual Maturity

Please provide a brief statement about the candidate’s spiritual maturity and how that might affect their off-campus program experience. Would they be willing to live within a faith-based environment?

Please note: Your responses on this form are not confidential, and will be sent to the student.

8. Strengths and Weaknesses

Please provide a brief statement about the candidate that addresses the candidate’s strengths and weaknesses as they relate to the proposed off-campus study program experience. If you were the director of the proposed program, would you be eager to have this student as a participant?

Please note: Your responses on this form are not confidential, and will be sent to the student.

9. Final Recommendation

Do you endorse this student?*

Endorse
Do not endorse

Signature*

Date*

I understand that due to this student choosing not to waive their rights to read their recommendation forms, my responses are not confidential, and that my responses will be sent to the student.

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