Thank you for your willingness to serve as a reference for an applicant to the Social Work Program at the University of Sioux Falls. USF finds candid, thorough evaluations invaluable to the decision-making process. Please include any information that you feel is pertinent and remember the sooner you submit this form to USF, the sooner we can give the applicant our admissions decision.

If you have any questions, contact Heather.Mileham@Usiouxfalls.edu.

Applicant Name:

Reference Provider's Information:

First Name:

Last Name:

Title/Role:

Email:

Phone:

Relationship to Applicant (select all that apply):

How long have you known the applicant?

Please rate the applicant using the form below:

          Performance:

          Intellectual Potential:          

          Leadership Potential:

          Shows Responsibility:

          Integrity:

          Oral Communication Skills:

          Written Communication Skills:

          Decision-Making Ability:

More Information:

     Please tell us more about the applicant by identifying particular
     strengths or areas for improvement.

Additional Comments:

Overall Recommendation:

     Please indicate your overall endorsement of the applicant by marking
     the appropriate option:

I have answered the above questions honestly and to the best of my ability.