Academic or Professional ReferenceThis form is to be completed by someone who is able to speak to the applicant's potential for success in this academic program or in their chosen field. It should not be completed by a relative. The application file is not considered complete until this form is received by the admissions department.Reference Information Your First Name Your Last Name Organization (if applicable) Your Email Address Your Phone NumberApplicant Information Applicant's First Name Applicant's Last Name Applicant's Email AddressPlease Rate the CandidateFor each of the headings below, please mark at least one item that describes the applicant. You may mark as many items as are applicable. Scholastic abilityExcellentSuperiorGoodAveragePoorNot Observed Organizational skillsSuperiorGoodAveragePoorNot Observed Interpersonal skillsSuperiorGoodAveragePoorNot observed InitiativeSuperiorGoodAveragePoorNot observed CreativitySuperiorGoodAveragePoorNot observed Overall potential for success in chosen fieldSuperiorGoodAveragePoorNot observed What do you consider to be the applicant's strongest skills or traits? What do you consider to be the applicant's areas of weaknesses or challenge? How long have you known the applicant? In what capacity do you know the applicant and how familiar are you with him/her? Is there anything else you think is important for the admission committee to know about this student?Recommendation My Recommendation:I recommend this applicant enthusiastically.I recommend this applicant without significant concern.I recommend this applicant with mild reservation.I recommend this applicant with significant reservation.I do not recommend this applicant No basis for responding.Please call me regarding this applicant. Comments (Optional)I would like to receive more information about Multnomah I would like to receive information for:MyselfMy organization Please send information about:Undergraduate ProgramsGraduate ProgramsSeminary ProgramsAll of the above Mailing Address Address City StatePlease select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYAPO Central & South AmericasAPO Europe, Mid-East, AfricaAPO Pacific, Indian OceanAmerican SomoaDistrict of ColumbiaFederated States of MicronesiaGuamPalauVirgin IslandsOutside the US Zip Please type your name here as a signature affirming the accuracy of your responses. Hidden fields Student (Record Type) Constituent (Record Type) Household (Record Type) TypePlease select...Academic or Professional Reference Organization (Record Type) Need assistance with this form?