Professional Reference Form

Applicant’s Name: / Reference’s Name:
Applicant’s E-mail: / Reference’s E-mail:
Relationship to Applicant: / Number of years known:

Instructions: The student named above is applying for admission to the Kaplan Leadership Program (KLP). KLP develops students, who are currently enrolled in associate’s degree programs, into future leaders in a variety of professional fields. We focus on low-income underrepresented students with high academic and leadership potential that would greatly benefit from additional resources, support and guidance. Students receive scholarships and other assistance as they complete their two-year degrees, transfer to, and complete a four-year college program.

KLP is a very rigorous and demanding program, only appropriate for the most dedicated, passionate and focused students. Successful candidates will have both exceptional academic and leadership potential, as well as inner strength and character. They must be open-minded, flexible, and demonstrate overall drive to succeed.

The Foundation would be grateful for your candid and detailed analysis of the applicant’s strengths and weaknesses and for your perspective concerning his or her prospects for success. Please assess the candidate on the attributes below, and provide greater detail in the open ended section. In addition to the attribute ratings, please feel free to attach additional pages or a formal letter of recommendation. All references will be kept confidential. Thank you for your time and cooperation. Please return your recommendation via email to , fax it to 212-492-5806, or mail it to Kaplan Leadership Program, 395 Hudson Street, 4th Floor, New York, NY, 10014. Our application deadline is Tuesday May 19th, 2015.

Please check one: / Excellent / Good / Fair / Poor / n/a
Attendance
Punctuality
Ability to follow directions
Verbal Communication Skills
Written Communication Skills
Organization
Maturity
Open-mindedness
Relationships with Peers
Dress/Appearance
Confidence
Attention to Detail
Character (Honesty, Attitude)
Assertiveness
Drive/Passion
Determination
Discipline/Consistency
Work Ethic
Please check one: / Excellent / Good / Fair / Poor / n/a
Willingness to accept help/Coachability
Problem Solving Ability
Ability to Stick with Something
Resilience

Please provide us with any additional information that you feel may help us better understand why this applicant is uniquely qualified for the Kaplan Leadership Program and give examples that illustrate the student’s strengths and weaknesses or elaborate on your attribute ratings from above.

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Kaplan Educational Foundation • 395 Hudson Street • New York, NY 10014 • T. 212.707.5300 • F. 212.492.5806