Applicant Recommendation Form

Applicant Name*

Your Email Address*

Date*

Are you familiar with the field of cytotechnology?*

Yes
No

What is your association with the applicant, and how well do you know him/her? If you instructed the applicant, briefly describe the course(s).*

Listed below are some desirable qualities of a cytotechnologist. Please rate the applicant on each item.

Sense of responsibility*

Ability to work independently (self-discipline)*

Ability to work with others (cooperation)*

Motivation (interest, commitment)*

Integrity (honesty)*

Manual dexterity*

Curiosity and imagination*

Ability to accept constructive criticism (profit from evaluation)*

Maturity (common sense, seriousness, decision-making)*

Positive attitude (ability to cope with obstacles and delays)*

Leadership potential (peer esteem)*

Written communication skills (spelling, grammar, punctuation)*

Oral communication skills (expression, questions)*

Hidden

Personal appearance (grooming, appropriate attire)*

Flexibility (ability to adjust easily to new situations)*

What strengths or special qualifications does the applicant have?*

What shortcomings or limitations may affect the applicant's performance?*

If the applicant were applying for a position under your supervision, would you hire her/him?*

If desired, please provide additional pertinent information or comments regarding the applicant's abilities and potential for success in the Cytotechnology Program.

Overall Evaluation*

Name of Evaluator*

Position*

School or Organization*

Department*

Phone*

Letter of Recommendation

Max. file size: 24 MB.

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