CLINICAL PSYCHOLOGY APPLICATION FOR ADMISSION
Professional Recommendation
Application for Admission – M.A. Clinical Mental Health Counseling, M.A. Marriage and Family Therapy
Part A – To be completed by Applicant
Have this form completed by an employer, professional acquaintance or faculty member of any discipline who knows you well. First, complete Part A and save the form under a new name. Then, email the form to your recommender who will complete Part B and have them email the form directly to: graduate.recommendations@wheaton.edu
I waive my right to access the requested recommendation
Date: Applicant’s Signature or Typed Name:
Part B – To be completed by Employer, Professional Acquaintance, or Faculty Member
The above student is applying for admission to Wheaton College Graduate School. A full and candid report is essential if fair consideration is to be given the applicant. This completed form is for the admissions process only and does not become a part of the student’s file.
1. How long have you known the applicant?
2. How well and under what circumstances have you known the applicant?
3. What was the nature and frequency of your contacts? (e.g. weekly supervisory sessions, occasional discussions)
4. In making the following ratings please keep in mind that they will be used to compare this student with other able students.
Truly Above Below Unable to
emotional/personality Traits Outstanding Average Average Average Judge
Capacity for objective evaluation of self
Maturity of judgment
Capacity for handling stress
Open-mindedness, tolerance of differences
Ability to handle anxiety and fears
Capacity for independence
Relates to others without being pushy or aggressive
Relates to others without manipulation
Forms relationships with ease
Capacity to receive feedback constructively
Overall maturity/emotional preparedness for graduate school
4a. Please comment on other noteworthy emotional traits:
Truly Above Below Unable to
5. Works Skills Outstanding Average Average Average Judge
Focus and consistency at work
Ability to work closely with others
Ability to work independently
Dependability
Openness to learning new skills
Willingness to take initiative
Appropriate professional attitude
6. Please comment on the intellectual and personal assets and liabilities which would influence the person’s training and practice in professional psychology.
Enthusiastically Strongly Recommended Not
7. SUMMARY Recommended Recommended Without Enthusiasm Recommended
RECOMMENDATION
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|Recommender’s Name |Email address |
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|Business/Organization |Phone |
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|Position |Date |
Please email this form to Graduate Admissions at Wheaton College using the following email address: graduate.recommendations@wheaton.edu
Or, fax the form to (630) 752-7047, or mail to Wheaton College Graduate Admissions, 501 College Ave., Wheaton, IL 60187. Thank you.
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