Pittsburgh Fellows Academic Reference
You have been name as an academic reference for an applicant for the Pittsburgh Fellows Program, a professional post-undergraduate, nine-month program for young, values-driven leaders focused on developing workplace excellence and a passion for Pittsburgh.
Please help the Program Admissions Committee to understand a the applicant’s fit and ability to succeed in such a program.
Applicant's Name
Your Name
Title
Organization
Email
Phone
How long have you known the applicant and in what capacity?
Barely
Moderately
Well
Very Well
How well do you know the applicant?
Please rate the applicant on these five characteristics. Please write a brief explanation of your rating in the box below it.
Very Poor
Poor
Fair
Good
Very Good
Excellent
N/A
Work Quality Including Teachability
Work Quality Comments
Very Poor
Poor
Fair
Good
Very Good
Excellent
N/A
Leadership
Leadership Comments
Very Poor
Poor
Fair
Good
Very Good
Excellent
N/A
Intellectual Curiosity
Intellectual Curiosity Comments
Very Poor
Poor
Fair
Good
Very Good
Excellent
N/A
Organization
Organization Comments
Very Poor
Poor
Fair
Good
Very Good
Excellent
N/A
Communication Skills
Communication Skills Comments
Additional Comments
Electronic Signature
By checking this box, I affirm that the information I have provided on this reference is true and correct to the best of my knowledge.
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