Please return electronically or by mailto: Program Secretary, Linda Brandau, , 620 Farm Lane, 343

Erickson Hall, Michigan State University, East Lansing, MI 48824.

To The Applicant: This form should be forwarded to professors and others able to comment on your academic qualifications and potential for leadership in education.

Applicant Name:
Under the provisions of the Family Education Rights and Privacy act of 1974, if admitted and enrolled, you will have access to the information provided on this form unless you have waived such access.
I hereby waive my right of access to the information below.
Typed name above represents your signature to this document. date / I hereby do NOT waive my right of access to the information below.
Typed name above represents your signature to this document. date

To the recommender completing this form: Your candid and objective appraisal of the applicant’s qualifications and potential will contribute to our admission deliberations. In addition to completing this form by checking the appropriate cells in the table below, please attach a letter of recommendationthat offers evidence of the applicant’s most outstanding talents and characteristics, as well as the applicant’s chief liabilities and weaknesses with regard to completing a rigorous masters program. Send the letter and cover form together either electronically or by mail.

Name of Person Completing the Form
Position/Title
Address
College or Organization
Signature/Date
How long and in what capacity (professor, advisor, employer) have you known the applicant?

What is your opinion of the applicant’s potential for success in this masters program?

1=Exceptional (upper 5%) 2=Very Good (next 10%) 3=Good (next 10%) 4=Average (next 10%) 5=Below Average 6=No Basis To Judge

1
Exceptional / 2
Very Good / 3
Good / 4
Average / 5
Below
Average / 6
No
Basis
Depth/breadth of knowledge in subject(s) currently teaching
Knowledge of teaching and learning
Ability to teach diverse learners without stereotypes expectations
Motivation and perseverance toward pursuing own goals
Tolerance for ambiguity, uncertainty
Intuitive, attention to nuance, subtlety
Creativity in designing challenging curricula and activities
Ability to work independently with confidence and little guidance
Disposition and ability to work collaboratively with colleagues
Ability to express ideas in writing coherently and with clarity
Confidence in publicly expressing opinions/positions on issues
Openness to/ tolerance of others' ideas
Ability to critically analyze proposals,policies, practices
Effectiveness in defining and resolving problems
Disposition to be reflective about own beliefs and practice
Ability to plan and conduct inquiry to pursue needs/questions
Interest in school/institution and contributing toward shared goals
Interest in the families and communities served by institution
Achievements relative to the degree of challenge in work setting

Your recommendation for admission to graduate study (please mark your recommendation with an X

I Highly Recommend / I Recommend / I Recommend With Reservation / I Do Not Recommend
MSU is an Affirmative Action / Equal Opportunity Institution AppAdmissionDocs/MATC/RecommendCover-6-2012