Career Studies Program - Student Recommendation Form - Manual

The Career Studies Certificate program is a post-secondary inclusive program for young adults with intellectual disabilities who are interested in preparing for employment and participating in an academic, vocational, and social university experience. The Career Studies Program provides the opportunity for students to enrich and enhance their personal and academic development in a fully inclusive environment. Prospective Career Studies students will have meaningful experiences that will enhance their personal growth socially, academically, and vocationally.

With the above information in mind, please answer the following questions to the best of your ability. Please answer honestly. Your responses will remain confidential, and the applicant will not see your answers.

Thank you for your assistance in this matter.

Applicant's Name

Recommender's Information

Your Full Name

Street Address

City

State

Zip Code

Phone Number

Section 1

How long have you known the applicant and in what capacity?

Please describe why you feel the applicant would benefit from a post-secondary education experience

Please describe the strengths the applicant has that will make him/her a strong candidate for this program.

Please describe any challenges that the applicant has that may impact success in the program.

Section 2

Should you not be familiar with the applicant in a particular area, please indicate this by selecting the Unknown option.

Skills

Questions	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Navigating campus environment	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Managing personal belongings	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Relating to others	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Asking for help, for clarification, or questions	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Using judgment skills in an emergency	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Coping with stress	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Adjusting to new situations or changes in schedule/routine	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Communicating needs in an appropriate manner	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Engaging in appropriate social interaction	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Following verbal directions	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Reading at a third-grade level	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown
Copying from the board	Needs complete assistance	Needs moderate assistance	Needs some assistance	Needs minimal assistance	Needs no assistance	Unknown

Please list or discuss any additional information about this applicant, including behavioral concerns, interpersonal skills, or emotional regulation, that you feel would be beneficial for the interview team to know.

CAPTCHA