Sociology & Criminology Reference Form

Student Name

How long have you known the applicant?

< 1 Year

1-5 Years

6-10 Years

> 10 Years

How do you know the applicant?

Professor/Student

Employer or Supervisor/Employee

Supervisor/Volunteer

Other

If you taught the applicant, did their academic performance compare to other students:

Better than most.

Average.

Worse than most.

If you worked with the applicant, was their ability to work well with the diverse population:

Better than most.

Average.

Worse than most.

Intellectual Ability

Analytic Ability

Imagination/Creativity

Motivation/Perseverance

Ability to Meet Deadlines

Writing Skills

Interpersonal Communication

Cultural Competence (Diversity, Equity, and Inclusion)

Potential for Graduate Study

Letter of Recommendation

Recommenders Name

Position/Title

Institution/Place of Work

Address

Phone Number

Date