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Master of Arts in Teaching Program Recommendation Formweb.ccsu.edu/mat/files/MAT_Reference_Form.pdf · Master of Arts in Teaching Program ... become a teacher ... on the back of this

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Page 1: Master of Arts in Teaching Program Recommendation Formweb.ccsu.edu/mat/files/MAT_Reference_Form.pdf · Master of Arts in Teaching Program ... become a teacher ... on the back of this

Sally Valentino Drew, PhD, MAT Director Barnard Hall Room 2200 Central Connecticut State University (CCSU) 1615 Stanley Street School of Education and Professional Studies New Britain, CT 06050

[email protected]

MasterofArtsinTeachingProgramRecommendationForm

To be completed by applicant: Last Name__________________________________________ First Name___________________________ Date of Birth_________________________ Email address________________________________________ Phone_______________________________ Note: This reference will not be confidential. Please feel free to contact the program director directly to share additional information. Contact information is listed at the bottom of this form.

To be completed by recommender: Name_____________________________________________Position_______________________________ Email address_______________________________________Phone________________________________ How long have you known applicant?_________________________________________________________ In what capacity?_________________________________________________________________________ Please rate the applicant’s potential in the following areas in comparison to others you have observed or known. A candid evaluation of this candidate's potential as a teacher will be most helpful. The recommendation must be a signed original to be accepted. Candidate demonstrates:

Highest 10%

Next Higher 20%

Next Higher 20%

Bottom 50%

Unable to Judge

Academic Ability: Mastery of subject matter Oral communication skills Written communication skills Intellectual potential Character: Responsibility Maturity Leadership ability Honesty Work Ethic Ability to work with other adults Ability to work with children/youth Motivation to become a teacher Suitability for teaching

Signature___________________________________________________________Date_______________________ Please comment on the applicant’s strengths and weaknesses on the back of this form or on a separate sheet. Please return this form to the applicant for submission to the program for admissions consideration.

--THANK YOU FOR YOUR ASSISTANCE--