Career Services Center Bucks County Community College, Newtown, PA

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                     CAREER SERVICES, BUCKS COUNTY COMMUNITY COLLEGE, NEWTOWN, PA 18940
                                                 (215) 968-8195
                                                       RECOMMENDATION

Student Name: _____________________________________________________________ Date: ___________________



                               ACCESS TO THIS RECOMMENDATION: (To be completed by the student)
The Buckley Amendment (1974) guarantees you the right to review this recommendation. However, you may choose to waive this right.

I would like to receive a copy of this recommendation ________________________________    _________________
                                                              (Signature)                  (Date)

I give up my right to see this recommendation______________________________________ ___________________
                                                            (Signature)               (Date)

REFERENCE WRITER – PLEASE COMPLETE THE FOLLOWING AND FORWARD TO CAREER SERVICES. PLEASE TYPE OR
WRITE NEATLY ALL INFORMATION.



___________________________________________ ________________________________ _____________________
                  NAME                                         TITLE            PHONE NUMBER

_______________________________________________ _______________________________________________________
                  EMPLOYER                                    ADDRESS

How are/were you associated with the above-named student?
     Teacher/Instructor
     Counselor
     Advisor
     Employer
     Supervisor
     Other


How long have you known this individual? _________________________

RECOMMENDATION CHECKLIST-Please number each characteristic as follows:
1. Outstanding 2. Above Average 3. Average 4. Fair 5. Poor 6. No chance to observe

      Aptitude in major field              Initiative
      Attitude towards profession          Poise
      Decision-making ability              Dependability
      Written communication                 Sense of responsibility
      Cooperativeness                      Motivation
      Quality of work                      Oral Communication
                                           Consideration

What do you believe is this individual’s most outstanding characteristic?
______________________________________________________________________________________________________________

Attach Recommendation to this form. Please use College letterhead.




                                                              ________________________________        _______________________
                                                              (Signature)                                 (Date)