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Social Work Program Reference

Social Work Program Reference

A student has requested you as a reference for admission to the Undergraduate Social Work Program at Siena College.

Please complete sections one and two as part of the reference.

We appreciate your time and effort in assisting us with the admission process. Thank you!

* = required field

Person providing the reference

Name *

First

Last

Email Address *

Phone Number *

###

###

####

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Relationship to Applicant *

Applicants Information

Name *

First

Last

SECTION ONE:

The provision of Social Work Services requires a combination of academic and interpersonal skills. In a written letter please summarize the candidate’s strengths and identify the specific skills that make him/her a suitable candidate for entry into the undergraduate Social Work Program at Siena.
Thank you.

Reference Letter *

Allowed File Types: pdf

SECTION TWO:

Please rate the following attributes based on your experience with the applicant.

Written Communication *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Oral Communication *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Organizational Abilities *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Healthy Boundaries *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Emotional Maturity (navigate stressful situations) *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Adaptable to New Situations *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Establish Connections with Others *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Self-Confidence *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Resourcefulness *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Reliability (punctual, meets deadlines, attendance…) *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Initiative *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Ability to work with people who are different *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Integrity *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Proactive Problem Solving *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Self-Awareness *

1 OUTSTANDING

2 ABOVE AVERAGE

3 AVERAGE

4 BELOW AVERAGE

5 NO OPPORTUNITY

Signature of reference *

515 Loudon Road, Loudonville, NY 12211 518-783-2300

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