The Center for Reintegration

Back to Work, Back to Life

General Recommendations

This Recommendation Form must be completed by someone who knows the applicant personally and can respond to all the questions below regarding skills, ambitions, and experiences (family members cannot fill out forms). 

Applicant's Name *
Applicant's Name
Name of the individual for whom you are providing a recommendation
e.g. employer, teacher, other (please list)
How Well do You Know the Applicant? *
Is the applicant’s scholastic record, as you know it, an accurate index of his/her scholastic potential? *
In your opinion, the applicant has: *
In your opinion, the applicant has:
Intellectual Ability
The Ability to Work Independently
Strong Writing Skills
Conceptual Ability
Strong Work Ethic
Sound Judgement
The Capacity to Handle Stress
A Deep Commitment to Recovery
The Determination to Achieve Educational and Vocational Goals
Overall recommendation: *