Get CA Azusa Pacific University Nursing Reference Form

Please include any information that you feel is pertinent and remember that the sooner you return this form to APU the sooner we can give this student our admission decision. Thank you. Please rate the applicant in each of the following areas Excellent Top 15 Good Top third Average Middle third Poor Bottom third Do Not Know Ability to work with others Conceptual ability Consistency Creativity Flexibility Initiative Integrity Leadership Maturity Motivation Sensitivity to patients Continued. Office of Undergraduate Admissions Azusa Pacific University 901 East Alosta Avenue PO Box 7000 Azusa CA 91702-7000 How long have you known the candidate and in what capacity What do you consider to be the applicant s outstanding talents or strengths Please give specific examples. Office of Undergraduate Admissions Azusa Pacific University 901 East Alosta Avenue PO Box 7000 Azusa CA 91702-7000 How long have you known the candidate and in what capacity What do you consider to be the applicant s outstanding talents or strengths Please give specific examples. How well do you think the applicant has thought of his/her plans for this program of study I o recommend o do not recommend o recommend with reservation this individual for enrollment in the School of Nursing. First Name Middle Name Last Name Position/ Occupation Phone City Email Address State/Province Evaluator s Signature Postal Code Country Date Please note This form should be received as soon as possible to give the applicant the best possible admissions consideration. PLEASE RETURN TO. First Name Middle Name Last Name Address Number Street Apartment/Unit Date of Birth Social Security Number Address City State/Province Postal Code Address Country The Family Educational Rights and Privacy Act of 1974 permits a matriculated student to have access to his/her file unless a waiver of that right has been signed. If you wish to waive your right to access your file sign your name in the space provided. The waiver is NOT required as a condition of admission. I hereby waive my right of access to this letter of recommendation. Applicant s Signature Date To the Evaluator This student is applying for admission to Azusa Pacific University. The Office of Undergraduate Admissions finds candid thorough evaluations invaluable to the decision-making process. Please include any information that you feel is pertinent and remember that the sooner you return this form to APU the sooner we can give this student our admission decision. Thank you. Nursing Reference Form To the Student Complete the following section and give this form as soon as possible to someone who has observed you in a professional setting for a reasonable period of time. This should be an employer or community leader for whom you have worked or volunteered. Please furnish the evaluator with a stamped envelope using the address at the bottom of the second page. First Name Middle Name Last Name Address Number Street Apartment/Unit Date of Birth Social Security Number Address City State/Province Postal Code Address Country The Family Educational Rights and Privacy Act of 1974 permits a matriculated student to have access to his/her file unless a waiver of that right has been signed. If you wish to waive your right to access your file sign your name in the space provided. The waiver is NOT required as a condition of admission. I hereby waive my right of access to this letter of recommendation. Applicant s Signature Date To the Evaluator This student is applying for admission to Azusa Pacific University. .