CONHS Reference Form Applicant's Information * Student name: * Student ID: ('A' number) Address: City: State: Zip: Phone: Email: * required informationEvaluator's Information * First name: * Last name: Address: City: State: Zip: Phone: * Email: Job Title: * required informationEvaluation Please rate applicant on qualities below to the best of your knowledge Individual characteristic Exceptional AboveAverage Average BelowAverage Capacity for Independent Thinking Exceptional Above Average Average Below Average Intellectual Ability Exceptional Above Average Average Below Average Leadership Ability Exceptional Above Average Average Below Average Motivation to Work Exceptional Above Average Average Below Average Ability to Work Well with Others Exceptional Above Average Average Below Average Ability to Express Self Orally Exceptional Above Average Average Below Average Writing Ability Exceptional Above Average Average Below Average Emotional Maturity Exceptional Above Average Average Below Average Likelihood of Success in Graduate Work Exceptional Above Average Average Below Average Likelihood of Career Success Exceptional Above Average Average Below Average Problem-Solving Ability Exceptional Above Average Average Below Average Analytic Ability Exceptional Above Average Average Below Average How long have you known this applicant? In what capacity do you know this applicant? Are you his/her co-worker, supervisor, etc.? What is your working/professional relationship with this applicant? Please share any additional information about this applicant that might help us assess potential for success Clicking submit will email your request to gradweb@tamucc.edu. Your form contains errors, please correct and click submit. Please contact us with any issues or concerns at 361-825-2541, or via email at gradweb@tamucc.edu