SUNY Plattsburgh MS Clinical Mental Health Counseling or MS Students Affairs and Higher Education Recommendation Form

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Applicant Name Applicant Name First Last
Recommender Name Recommender Name First Last
Recommender Email
To The Evaluator:

Please rate the applicant in comparison with other students of similar experience and training.
1. How long have you known the applicant?
In what capacity?
2. If you have been the applicant's instructor, please estimate how well the applicant's grades reflect his/her academic potential by checking the appropriate box below:

2. If you have been the applicant's instructor, please estimate how well the applicant's grades reflect his/her academic potential by checking the appropriate box below: Grades OVER-ESTIMATE applicant's potential Grades are a GOOD ESTIMATE of applicant's potential Grades UNDER-ESTIMATE applicant's potential No basis for judgement
b. If grades DO NOT reflect the applicants' true potential, please explain briefly below:

3. Please rate the applicant on the following characteristics in comparison with other students of similar experience and training
	Below Average	Average	Above Average	Outstanding	Inadequate opportunity to observe
Openness	OpennessBelow Average	OpennessAverage	OpennessAbove Average	OpennessOutstanding	OpennessInadequate opportunity to observe
Perseverance	PerseveranceBelow Average	PerseveranceAverage	PerseveranceAbove Average	PerseveranceOutstanding	PerseveranceInadequate opportunity to observe
Ability to work with others	Ability to work with othersBelow Average	Ability to work with othersAverage	Ability to work with othersAbove Average	Ability to work with othersOutstanding	Ability to work with othersInadequate opportunity to observe
Maturity	MaturityBelow Average	MaturityAverage	MaturityAbove Average	MaturityOutstanding	MaturityInadequate opportunity to observe
Self-Confidence	Self-ConfidenceBelow Average	Self-ConfidenceAverage	Self-ConfidenceAbove Average	Self-ConfidenceOutstanding	Self-ConfidenceInadequate opportunity to observe
Communication Skills: Oral	Communication Skills: OralBelow Average	Communication Skills: OralAverage	Communication Skills: OralAbove Average	Communication Skills: OralOutstanding	Communication Skills: OralInadequate opportunity to observe
Communication Skills: Written	Communication Skills: WrittenBelow Average	Communication Skills: WrittenAverage	Communication Skills: WrittenAbove Average	Communication Skills: WrittenOutstanding	Communication Skills: WrittenInadequate opportunity to observe
Ability to analyze a problem and formulate a solution	Ability to analyze a problem and formulate a solutionBelow Average	Ability to analyze a problem and formulate a solutionAverage	Ability to analyze a problem and formulate a solutionAbove Average	Ability to analyze a problem and formulate a solutionOutstanding	Ability to analyze a problem and formulate a solutionInadequate opportunity to observe
Motivation for proposed program of study	Motivation for proposed program of studyBelow Average	Motivation for proposed program of studyAverage	Motivation for proposed program of studyAbove Average	Motivation for proposed program of studyOutstanding	Motivation for proposed program of studyInadequate opportunity to observe
Potential as a professional	Potential as a professionalBelow Average	Potential as a professionalAverage	Potential as a professionalAbove Average	Potential as a professionalOutstanding	Potential as a professionalInadequate opportunity to observe
Interpersonal Skills: Peers	Interpersonal Skills: PeersBelow Average	Interpersonal Skills: PeersAverage	Interpersonal Skills: PeersAbove Average	Interpersonal Skills: PeersOutstanding	Interpersonal Skills: PeersInadequate opportunity to observe
Interpersonal Skills: Faculty	Interpersonal Skills: FacultyBelow Average	Interpersonal Skills: FacultyAverage	Interpersonal Skills: FacultyAbove Average	Interpersonal Skills: FacultyOutstanding	Interpersonal Skills: FacultyInadequate opportunity to observe
Interpersonal Skills: Clients	Interpersonal Skills: ClientsBelow Average	Interpersonal Skills: ClientsAverage	Interpersonal Skills: ClientsAbove Average	Interpersonal Skills: ClientsOutstanding	Interpersonal Skills: ClientsInadequate opportunity to observe
Practical Judgement	Practical JudgementBelow Average	Practical JudgementAverage	Practical JudgementAbove Average	Practical JudgementOutstanding	Practical JudgementInadequate opportunity to observe
Sense of Humor	Sense of HumorBelow Average	Sense of HumorAverage	Sense of HumorAbove Average	Sense of HumorOutstanding	Sense of HumorInadequate opportunity to observe
Sensitivity to Others	Sensitivity to OthersBelow Average	Sensitivity to OthersAverage	Sensitivity to OthersAbove Average	Sensitivity to OthersOutstanding	Sensitivity to OthersInadequate opportunity to observe
Acceptance of Feedback	Acceptance of FeedbackBelow Average	Acceptance of FeedbackAverage	Acceptance of FeedbackAbove Average	Acceptance of FeedbackOutstanding	Acceptance of FeedbackInadequate opportunity to observe
Dependability	DependabilityBelow Average	DependabilityAverage	DependabilityAbove Average	DependabilityOutstanding	DependabilityInadequate opportunity to observe

4. Estimate the applicant's potential to become a highly competent clinician/professional by checking the appropriate box below:

4. Estimate the applicant's potential to become a highly competent clinician/professional by checking the appropriate box below: Applicant will be an INEFFECTIVE Clinician/Professional Applicant will be an AVERAGE Clinician/Professional Applicant will be an EFFECTIVE Clinician/Professional No basis for judgement
5. Please indicate the strength of your overall endorsement by checking the appropriate box below:

5. Please indicate the strength of your overall endorsement by checking the appropriate box below: Yes, with no reservations Yes, with reservations No Not Applicable
If you wish to attach an additional recommendation letter, please upload it here, or email it to graduate@plattsburgh.edu:

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Contact Information

The Graduate Admissions Office is located on the 1st floor of the Kehoe Building.

Phone: (518) 564-2040
Toll-free: (800) 723-9515 (In U.S. and Canada)
Fax: (518) 564-4722
Email: graduate@plattsburgh.edu

SUNY Plattsburgh MS Clinical Mental Health Counseling or MS Students Affairs and Higher Education Recommendation Form

SUNY Plattsburgh MS Clinical Mental Health Counseling or MS Students Affairs and Higher Education Recommendation Form

To The Evaluator:

Contact Information