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Name of Applicant *
The University of Akron Wayne College is interested in your views of this applicant’s qualities as a potential student in the Paraprofessional Education Associate Degree program. Please submit your reference promptly. Please maintain a photocopy of this reference form if you wish to keep a copy for your personal records. We value your comments highly and ask that you complete this form in the knowledge that it will be retained in the student’s file. Again, your comments are important to us, and we thank you for your cooperation. The University of Akron Wayne College is committed to administer all educational policies and activities without discrimination on the basis of race, color, religion, national or ethnic origin, age, handicap, or sex.
Background Information *

Ratings * Compared to others you have known in the way that you know this student, check how you would rate this student in terms of the personal qualities listed below. If you have no basis for comparison for a particular quality, check “no basis.”
No Basis for Comment   Below Average Average Good/ Above Average Excellent Top 10%
Independence, Initiative
Discipline Work Habits
Capacity for Growth
Ability to Collaborate / Work with Peers
Evaluation (optional) Please feel free to write whatever you think is important about this student. We are particularly interested in the candidate’s promise as a student in the Wayne College Paraprofessional Education program. In addition to academics, we would be interested in information about qualities relating to this candidate’s motivation and interpersonal skills with peers, children and adults, special talents, and potential for growth.
An asterisk (*) denotes a required field