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 Intellectual Ability Leadership Ability Motivation to Work Ability to Work Well with Others Ability to Express Self Orally Writing Ability Emotional Maturity Likelihood of Success in Graduate Work Likelihood of Career Success Problem-Solving Ability Analytic Ability 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