CONHS Doctoral Reference Form Applicant's Information reference form * Student name: * Student ID: ('A' number) reference form Address: City: State: Zip: Phone: Email: * required informationEvaluator's Information References should be professionals who are able to evaluate the applicant's performance as a practitioner. reference form * First name: * Last name: reference form Address: City: State: Zip: Phone: * Email: Job Title: * required informationEvaluation Please rate applicant on qualities below to the best of your knowledge reference form Individual characteristic Exceptional Above Average Average Below Average Independence of thought Exceptional Above Average Average Below Average Intellectual curiosity Exceptional Above Average Average Below Average Creative problem solving Exceptional Above Average Average Below Average Critical Thinking Exceptional Above Average Average/label> Below Average Reflective thought Exceptional Above Average Average Below Average Leadership ability Exceptional Above Average Average Below Average Oral expression Exceptional Above Average Average Below Average Written expression Exceptional Above Average Average Below Average Perseverance Exceptional Above Average Average Below Average Emotional maturity Exceptional Above Average Average Below Average *Please provide details in the additional information section if you rate an applicant as exceptional or below average on any characteristic. reference form How long have you known this applicant? reference form 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