Instructions:
Send completed Letters of Recommendation to:
The University of Natural Medicine
P.O. Box 4069
Santa Fe, NM 87502

Applicant: Mr./Ms./Mrs./Dr./(Last)________________________(First)___________(MI)____

This recommendation will become part of your admissions file. You may waive your right (under the Family Education Rights and Privacy Act of 1974) to review letters of recommendation. Please sign the statement below. This action is optional.

I hereby: ___waive ___do not waive my right of access to this information.

Signature__________________________________________Date__________________

Referent: Please submit an evaluation of the above applicant.
Name: __________________________________________________________
Address: ________________________________________________________
Phone: __________________________________________________________
Position: ________________________________________________________

1. Please complete the rating scales below by placing a check mark in the box to the right of each attribute.
   
   

   Attribute	Excellent	Good	Fair	Needs Attention	Not Observed
   Intellectual Potential
   Verbal Communication Skills
   Written Communication Skills
   Interpersonal Skills
   Business Skills
   Problem Solving Skills
   Organization
   Independence
   Self Discipline
   Health
   Maturity
   Concern For Others
   Research Skills

2. How long and in what capacity have you known the Applicant?
   
3. Please submit an additional sheet or sheets with a written evaluation of the applicant's qualifications for further education with the University. A statement which includes specific information about the applicant's abilities and accomplishments will be of greater value than a general one. You may cite performance, professional accomplishments, personal grouwth, character and personality, creativity, honors, awards and anything else you may think is relevent.
   

Signature_____________________________________________Date__________________