Medaille University Marriage and Family Therapy Program Reference Form

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Marriage and Family Therapy Program Reference Form

An acquaintance of yours is applying to a marriage and family therapy program at Medaille College. We would appreciate your candid appraisal of the applicant's personal and professional qualifications for the field of marriage and family therapy and for advanced academic study.

Your reference group (e.g. student, mental health professional, etc.)
Please rate the applicant on the following indices:
Academic Potential
Written Communication
Oral Communication
Intellectual Ability
Analytical Abilities
Quantitative Skills
Ability to Work Independently
Leadership Ability
Receptivity to Criticism
Interpersonal Relations
Tolerance for Stress
Overall Rating
Your Address
May we contact you if additional information is needed regarding this applicant?

With this form, please include a statement about the applicant. Use official academic or business letterhead. This letter must be signed by you. Within the letter, please describe the specific skills and qualities this applicant possesses that are relevant to marriage and family therapy, as we as the applicant's qualifications for graduate study. Discuss topics such as:

  • Character and temperament
  • Intellectual ability
  • Capacity for analytical thinking
  • Capacity for critical thinking
  • Ability to work with others
  • Ability to give and receive feedback
  • Ability to organize and express ideas clearly
  • Drive and motivation
By submitting this document, I agree that the recommendation I am submitting shall be held in confidence by officials at Medaille College, and I hereby waive any rights to examine it.
One file only.
10 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
50 MB limit per form.
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