Traineeship in Developmental Disabilities Recommendation Form

Applicant Information

The applicant should fill out the top section of this form before sending it to the individual who will complete it.

Applicant Name:
Last / First / M.I.
Address:
Street Address / Apartment/Unit #
City / State / ZIP Code
Phone: / ()- / Email:

I agree that this recommendation will remain confidential, and I knowingly and freely waive my rights to view it.

Agree Disagree

Signature of Applicant (optional)

Recommendation Instructions

The person named above is applying for a Traineeship in Developmental Disabilities with The Boggs Center, University Center for Excellence in Developmental Disabilities of New Jersey. The Traineeship offers an array of learning opportunities oriented toward developing a workforce of professionals who will be prepared to provide leadership and vision in the field of developmental disabilities. Each Trainee is matched with a Boggs Center mentor who will help guide the student’s activities and provide feedback. Trainees have the opportunity to construct an individualized training plan, tailored to their interests, in order to contribute something unique to the field of developmental disabilities. Trainees are also afforded frequent opportunities to collaborate with Boggs Center staff and leaders in the disciplines of health and human services on a variety of important projects including research, model demonstrations, and dissemination of educational materials. By the conclusion of the Traineeship, the student will have developed highly important and transferable professional skills like effective communication and project management.

Your estimation of the applicant’s aptitude for completing a traineeship, potential for leadership and professional development as well as general character would be appreciated. The information given in the recommendation will be confidential ONLYif indicated by the applicant in the section above. Letter of recommendation received on this or an alternate form can be made available to the applicant unless they have waived their right to view the completed recommendation form. DO NOT return this form to the applicant. Please send this letter directly to the attention of the Traineeship Program at the address provided below:

Carrie Coffield

Interdisciplinary Training Coordinator

The Boggs Center on Developmental Disabilities

Rutgers Robert Wood Johnson Medical School

335 George Street, Suite 3500

New Brunswick, NJ 08901

Email:

Phone: (732) 235-9329

Fax: (732) 235-9330

Recommendation

I have known the applicant for years as his/her:

Teacher Advisor

Department Chair Other (please specify)

Indicate the applicant’s promise for success in a Traineeship:

Outstanding Above Average Average Poor

Comments: (section will expand with typing)

Name Title Organization
Street Address
City State ZIP Code

Signature Date