Academic Recommendation Application for Admission – Clinical Psychology (PsyD) (It is preferable that this recommendation be from faculty in Psychology or other social sciences discipline)

Applicant Name

The above student is applying for admission to Wheaton College Graduate School. A full and candid report is essential if fair consideration is to be given the applicant. This completed form is for the admissions process only and does not become a part of the student’s file.

1. How long have you known the applicant?

2. How well and under what circumstances have you known the applicant?

3. In making the following ratings please keep in mind that they will be used to compare this student with other able students. Make them as realistic as you can in comparison with other college students.

Truly Above Below Unable to ACADEMIC SKILLS/WORK SKILLS Outstanding Average Average Average Judge Openness to learning Creative, innovative thinking Evaluates and synthesizes information Appropriate professional demeanor Communicates clearly and concisely in written and verbal form

Overall perception of academic skills

Truly Above Below Unable to EMOTIONAL/PERSONALITY TRAITS OutstandingAverageAverage Average Judge Empathic capacity Maturity of judgment Capacity for objective evaluation of self Capacity for independence Relates with emotional maturity Open-mindedness, tolerance of differences Forms relationships with ease Capacity for handling stress/anxiety Forms relationships with ease Overall maturity/emotional preparedness for graduate school

4. Some talented individuals make mediocre scholastic records. Is the applicant’s record as you know it an accurate index of his/her ability? If No, please explain, briefly:

Wheaton College Graduate School – Academic Recommendation Application for Admission / Clinical Psychology (PsyD) 1 5. Please comment on other noteworthy emotional traits:

6. Please comment on the intellectual and personal assets and liabilities that would influence the person’s training and practice in professional psychology. Please include any areas in which the applicant needs to grow in order to become an effective mental health professional.

______Recommender’s Name Email address

______College/University Phone

______Position Date

Please email this form to Graduate Admissions at Wheaton College using the following email address: [email protected]

Or, fax the form to (630) 752-7047, or mail to Wheaton College Graduate Admissions, 501 College Ave., Wheaton, IL 60187. Thank you.

Wheaton College Graduate School – Academic Recommendation Application for Admission / Clinical Psychology (PsyD) 2