CONFIDENTIAL RECOMMENDATION FORM
Master of Science in Regulatory Affairs
San Diego State University
Applicant:  Please supply the information requested below. You may solicit more than the three required evaluations if, in your opinion, the information they provide would significantly affect the consideration of your application.

                                 Name of applicant _________________________________________

                                 Social security number _____________________________________

The Family Education Rights and Privacy Act of 1974 gives students (persons admitted and enrolled) the right to inspect letters of recommendation written in support of applications for admission. The law also permits students to waive that right if they choose, although such a waiver must be voluntary and cannot be a condition of admission. Check one of the statements below and sign where indicated:                               _____ I reserve the right to inspect this recommendation.

                                                                                                            _____ I waive the right to inspect this recommendation.

Signature ___________________________________________________________ Date _______________


Recommender:  Please supply the information requested on both sides of this form. If you need to use additional paper, please staple them to the back of this form. Your comments will be held in confidence if the applicant has signed the waiver statement above.

Name of Recommender ________________________________________

Position or Title ______________________________________________

Name of organization __________________________________________

1. How long have you known the applicant? _______________________

2. Under what circumstances have you known the applicant? ______________________________________
____________________________________________________________________________________

3. Please evaluate the applicant as fairly as you can in each of the categories by placing an "X" in the appropriate position beneath the scale at the top:
 
 
Truly 
Exceptional
  
Outstanding
Above 
Average
  
Average
Below 
Average
Skills in oral communication          
Writing skills - technical          
     "         "    - business          
Analytical skills          
Creative qualities/capabilities          
Level of attention to detail          
Leadership potential          
Academic potential          
Potential for future managerial success          
4. Please use the space below (and additional sheets, if necessary) to make comments you think important concerning this applicant. We would especially appreciate your comments about a) the applicant’s oral and written communication skills, b) the applicant’s leadership potential, c) the relevance of graduate work in regulatory affairs to the applicant’s future, and d) the applicant’s intellectual ability and capacity for advanced graduate work.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

____________________________________ ____________________________________
Recommender’s signature                                                                   Recommender’s Name (please type or print)

____________________________________ _________/___________________________
Street Address                                                                                   Area code             Telephone number

____________________________________ ____________________________________
City                                                                                                  State                                                                   Zip code

Please return this form directly to:

Master of Science in Regulatory Affairs
Director of Regulatory Affair Programs, CBBD
San Diego State University
5500 Campanile Drive
San Diego, CA 92182-4610