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Pnu Recommendation Form

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RECOMMENDATION FORM

PART 1: TO BE COMPLETED BY APPLICANT: Complete the following information and sign


the waiver statement before presenting the form to your referee.

Name of Applicant:
Last First Middle

School:

Grade Level, Track, and Strand:

PART 2: TO BE COMPLETED BY THE REFEREE: The applicant whose name appears


above has applied for admission to Philippine Normal University. To assist in the selection
process, we asks your help in appraising the applicant by answering the questions below.
Thank you for your time and professional judgment.

1. How familiar are you with Philippine Normal University?

Very Somewhat Not at all

2. How long have you known this student and in what context?

3. Based on quarter, the applicant belongs to the:

Top 10% 25% graduating class 50% graduating class

4. From your experience, how would you rate this applicant in terms of the following qualities:

Below Above
Average No Basis
Average Average
a. Intellectual Ability • • • •
b. Leadership Qualities • • • •
c. Emotional Maturity • • • •
d. Written Expression of Ideas • • • •
e. Verbal Expression of Ideas • • • •
f. Study Habits and Attitudes • • • •
g. Motivation • • • •
h. Adaptability • • • •
i. Creativity • • • •
j. Potential for Growth • • • •
5. Recommendation: Check one and elaborate on your choice within the 'comments' section
below.
• I recommend the applicant without reservation
• I recommend the applicant with reservation
• I do not recommend the applicant

5.1. Please provide comments related to the applicant’s academic ability and potential to
succeed in a teacher education institution:

Accomplished by:

Affiliation and Address:

Referee Position:

School Principal Teacher Guidance Counselor

Email Address: Contact Number:

I declare that the information in this recommendation is true and correct.

Signature and Date:

CONFIDENTIAL: DO NOT RETURN TO THE APPLICANT

Upon completion of the appraisal, please save this file in a pdf format and send it via email
at pnuv.oss@pnu.edu.ph or put it in a sealed envelope with your signature across the
seal and send it directly to:

OFFICE OF ADMISSIONS
Philippine Normal University Visayas
Boy Albert St, Zone 1, Cadiz City Negros Occidental
Disclaimer: Letters of reference received as a part of the PNU application process do not become a part of the student record s.

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