CONHS Reference Form

Applicant's Information
* Student name:  
  ('A' number)  
* required information
Evaluator's Information
* required information
Evaluation Please rate applicant on qualities below to the best of your knowledge
Individual characteristic Exceptional Above
Average Below
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



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