Athletic Training Program AT Policy and Procedures Manual Major Athletic Training (B.S.) Menu Athletic Training Program Professional Reference The Nebraska Wesleyan University Athletic Training Program is a selective admissions program in the field of allied health. The program places stringent academic and clinical demands on students. With your help, the selection committee can best identify candidates most likely to successfully complete the program. Please complete this recommendation form as accurately as possible. All forms must be submitted by March 15. Please be aware that this applicant has chosen to [current-page:query:access] the right to review your reference submission as a part of the applicant’s file with Nebraska Wesleyan University. Professional Reference For First name (Optional) Last name (Optional) My Contact Information Name and credentials (Optional) Organization (Optional) Title (Optional) Work address (Optional) Street, City, State, Zip code Work phone (Optional) Phone (Optional) Relationship to applicant (Optional) Colleagues, student/faculty, employer/employee, etc. How long have you known the candidate? (Optional) Are you a Certified Athletic Trainer? (Optional) Yes No Please indicate the number of hours of observation under your supervision (Optional) Reference Rate the applicant on the following characteristics (Optional) Questions No opportunity to observe Poor Below average Average Above average Excellent Intellectual ability No opportunity to observe Poor Below average Average Above average Excellent Writing ability No opportunity to observe Poor Below average Average Above average Excellent Motivation No opportunity to observe Poor Below average Average Above average Excellent Acceptance of responsibility No opportunity to observe Poor Below average Average Above average Excellent Cooperation No opportunity to observe Poor Below average Average Above average Excellent Dependability No opportunity to observe Poor Below average Average Above average Excellent Demonstrates initiative No opportunity to observe Poor Below average Average Above average Excellent Judgement No opportunity to observe Poor Below average Average Above average Excellent Reaction to criticism No opportunity to observe Poor Below average Average Above average Excellent Creativity No opportunity to observe Poor Below average Average Above average Excellent Ethical sensitivity No opportunity to observe Poor Below average Average Above average Excellent Leadership No opportunity to observe Poor Below average Average Above average Excellent Tact and maturity No opportunity to observe Poor Below average Average Above average Excellent Letter of recommendation (Optional) Upload One file only.20 MB limit. Summarize (Optional) I highly recommend the candidate for admission into the Nebraska Wesleyan University Athletic Training Program I recommend the candidate for admission into the Nebraska Wesleyan University Athletic Training Program I recommend the candidate with reservations for admission into the Nebraska Wesleyan University Athletic Training Program I cannot recommend this candidate at this time for admission into the Nebraska Wesleyan University Athletic Training Program My reservations include (Optional) Submit Reference Error in Athletic Training Professional Reference Submission There has been an error in your attempt to submit a reference in support of an applicant to Nebraska Wesleyan University’s Athletic Training program. To complete your reference, please return to the email you received from Nebraska Wesleyan University and click on the link provided. If you continue to receive this error, please call 402.827.3555. Leave this field blank