Reference Form – Recommender

Name
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Waived?*
Type Of Reference?*
Student First Name*
Student Last Name*
Student Email*
Off-campus program*
Enrollment Year*
Semester*
Student phone*
Student college/university*
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. All short-term trip applications are due by November 1. If a student is doing an affiliate semester abroad, their applications are simply due prior to the semester during which they’ll be studying abroad. If you have any questions or concerns about this form, please direct them to studyabroad@asbury.edu.
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*
Level of academic seriousness and curiosity*
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*
4. 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.)*
5. Spiritual 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 spiritually mature enough to perform well in this type of program?
How would you describe the student’s spiritual maturity?
6. Final Recommendation
Do you endorse this student?*
- Strongly Endorse
- Endorse
- Endorse with reservations
- Do not endorse
OPTIONAL: Please feel free to use the following box to clarify any of your answers in this form.
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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ashley.demichael@asbury.edu

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Reference Form – Recommender

Student Summary

1. Acquaintance

2. Candidate Description

3. Communication Skills

4. Self-Reliance and Maturity

5. Spiritual Maturity

6. Final Recommendation

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