
Student:
Please sign the authorization and give this form to your advisor or faculty member who knows you well.
I hereby authorize ________________________________________________ to complete this form.
Under the provision of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this recommendation and understand that the information provided will be used only for the purpose for which it was prepared.
Yes No
___________________________________________________/_________________________
Student’s Signature Date
Faculty Member:
The student named above is applying to live in a Catholic Studies house for men or women. Please evaluate this student’s potential for adjusting to the challenges and responsibilities of living in an intentional faith community built upon a daily pattern of life. How long and in what capacity have you known the applicant?
Please evaluate the applicant:
Unable to Evaluate Low Acceptable Very Good Excellent
Sense of Responsibility
Academic Performance
Resourcefulness
Respect for others
Likes to be challenged
If you were a resident director of the Catholic Studies men’s house, would you want this student in that house?
_____ Recommend without reservation
_____ Recommend with reservation
_____ Not recommended
Recommendation based:
_____Primarily on records
_____On some personal contact
_____From secondary sources
_____On significant personal contact
Additional Comments:
Name:__________________________________________________________________________
Position and Department:___________________________________________________________
Telephone:______________________________________________
Signature:_______________________________________________________________________
Date:___________________________________________________
Please return this form to Brian Weber, Mail 32F, in a sealed and signed envelope by April 11th. Thank you.