Recommendation Form for Applicants to the Doctor of Audiology (Au.D.) Program

Instructions to applicant: After downloading this form, fill in all of your information in the Applicant Information section and your recommender’s information in the Evaluator Information section. Please save the file as YourLastName_YourUNTIDnumber_YourRecommendersLastName (e.g Smith_12345678_Jones). Provide the partially completed form to your recommender to complete and submit.

Applicant Information

First Name:________________________________________________________________________________

Last Name:________________________________________________________________________________

UNT ID#:__________________________________________________________________________________

Instructions to evaluator: Do not enable the Adobe "Edit" or "Fill & Sign" tools; simply click on each blank to fill in text or select your choice from the drop-down. Please check that your information is completed correctly in the Evaluator Information section below. Select your responses in the Evaluation section on the next page and copy/paste your letter of recommendation in the box on the last page. Once complete, please email your form to aslp@unt.edu. You will receive an email confirming receipt of your recommendation the next business day after your submission is received. Thank you for your support of our applicants!

Evaluator Information

Name:___________________________________________________________________________________

Title:

If “Other”, please specify:_______________________________________

Institution or Employer:______________________________________________________________________

Email:_____________________________________________________________________________________

Evaluation

How long have you known the applicant?________________________________________________________

In what capacity?____________________________________________________________________________

What is the frequency of your interaction with the applicant?________________________________________

Please indicate your agreement with the following statements:

This applicant has high intellectual ability

This applicant exhibits maturity in challenging situations

This applicant exhibits self‐confidence

This applicant has good written and oral communication skills

This applicant is highly motivated and has a high potential for success in the field

for office use only

Please copy/paste your letter of recommendation in the following box: