KU

Keiser University Graduate Reference Form

Full name of Applicant

Referee: Please provide the following information about the above-named applicant.

Quality Superior Above Average Average Below Average Inadequate Opportunity to Observer
Aptitude In Major Field
Teamwork Skills
Analytical Skills
Motivation for Proposed Program of Study
Perseverance
Dependability
Maturity
Accuracy of Work
Oral Expression/Presentation
Writing Skills
Sense of Initiative

Please identify this applicant's major strengths and notable weaknesses

Referee's Name (please type your full name)
I have known the applicant for  years.
In capacity?
Telephone:
Email:
Position/Title:
College/Employer/Other
Date
Name/Electronic Signature

By typing your name you have created an electronic signature as legally binding as your handwritten signature.