Medaille College Mental Health Counseling Program Reference Form

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Mental Health Counseling Program Reference Form

An acquaintance of yours is applying to a mental health counseling program at Medaille College. We would appreciate your candid appraisal of the applicant's personal and professional qualifications for the field of clinical mental health counseling 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
Organization
Written Communication
Oral Communication
Creativity
Intellectual Ability
Analytical Abilities
Quantitative Skills
Ability to Work Independently
Leadership Ability
Professionalism
Self-Confidence
Receptivity to Criticism
Self-Awareness
Maturity
Interpersonal Relations
Cooperativeness
Tolerance for Stress
Motivation
Ethics
Overall Rating
Your Address
Please attach a letter of recommendation on your letterhead that describes the applicant's qualifications and elaborates on the above ratings. 
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.