Carnegie Mellon Advising
Resource Center (CMARC)
Cyert Hall A-64
Pittsburgh, PA 15213-3890
412-268-2150
Carnegie Mellon Enrollment
Services, Summer Studies
5000 Forbes Ave., WH A19
Pittsburgh, PA 15213-3890
412-268-9796
2017 (re)CHARGE Program Student Letter of Support
Applicant name:
Andrew ID:
The student whose name appears above is applying for the (re)CHARGE Program. This form is provided to you for your confidential evaluation of the applicant’s
qualifications and fit for the program. Your candid and objective appraisal is essential to the selection process.
I authorize
to complete this reference form confidentially.
REFERENCE NAME
Applicant’s signature:
Date:
The following sections should be completed by the reference.
Reference name:
Title:
Email:
Phone number:
How long have you known the applicant?
PART 1
Please check the space that most accurately reflects your experience with the applicant’s abilities. EXCELLENT shows genuine talent with
superior skills of awareness and advancement potential. GOOD is a student who possesses a strong skill set and applies it appropriately but
requires some coaching. AVERAGE is a student who is knowledgeable of necessary skills to be successful, but requires a lot of coaching.
BELOW AVERAGE is a student who needs intensive coaching to build skills for success.
Skills/Abilities
EXCELLENT
GOOD
AVERAGE
BELOW
AVERAGE
Takes responsibility
Accepts suggestions and constructive criticism
Dedication to his/her work
Maturity
Understands current academic state
Self-efficacy
Motivation for improvement
Sets realistic goals
Reaction to setbacks
Utilizes resources
PART 2
Please complete the following questions as appropriate:
1) Is the student ready for a fast-paced summer workload?
Yes
No
2) Are there specific skills the student should improve during the summer?
Yes
No
Yes
No
Unable to assess
If yes, please describe:
3) Has the student shown interest in changing majors
Page 1 of 2
Unable to assess
NO BASIS
TO ASSESS
2017 (re)CHARGE Program Student Letter of Support
4) As far as you know, has the student managed to make strong connections with peers/staff/faculty at the university?
Yes
No
If no, please describe any concerns:
5) What do you hope the student will gain from the (re)CHARGE Program?
PART 3
Your additional thoughts on evaluating the applicant are appreciated. Include comments below or attach a separate recommendation letter.
Request consultation with (re)CHARGE Program staff.
SIGNATURE
Reference Signature:
Date:
References: Please return this form to the applicant in a SEALED envelope.
Applicants: Please return the envelope to the CMARC office, Cyert Hall A-64.
Admission decisions will be made on a rolling basis, but the last day to apply is May 10, 2017.
If you have questions, please contact Amy Yearwood or Lucia Gonzalez-Prier at [email protected].
Page 2 of 2