ENGINEERING PHYSICS Ph.D. PROGRAM
MICHIGAN TECHNOLOGICAL UNIVERSITY

Send all reference forms directly to: Dept. of Physics, Michigan Technological University,
1400 Townsend Drive, Houghton, Michigan, 49931-1295 USA

Applicant's Name___________________________________________________________
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Applicant: The Family Educational and Privacy Act of 1974 gives students the right to inspect letters of recommendation written in support of your application. The law also allows students to waive that right if they choose. If you wish to waive your right to examine this letter of recommendation, please sign the waiver below.

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   Signature of Applicant                                                                                                         Date
Respondent: Please complete the rating scale below. Please also use the back of this form or a separate letter to comment specifically about the student's strengths and weaknesses concerning suitability for graduate study and potential as a graduate teaching assistant, elaborating where appropriate on the ratings given below. Please also indicate your relationship to the applicant and how long you have known him/her.
Overall Recommendation: [   ] I recommend the applicant without reservation.
[   ] I recommend the applicant with some reservation.
[   ] I cannot recommend the applicant for graduate work at this time.
Please rate the applicant's academic abilities:
  No Basis for Judgement Below Average Average Good Excellent
Top 4-9% 		Outstanding
Top 1-3%
Degree of mastery of knowledge in applicant's general field            
Knowledge of and ability to use basic laboratory techniques            
Ability to express self in speech and in writing (English)            
Self-reliance and independence            
Motivation toward a successful productive career            
Emotional stability and maturity            
Possession of a fertile imagination and originality            
Growth during the period you observed applicant            
What is your assessment of the applicant's ability to do graduate work?            
What is your assessment of the applicant's ability to be a graduate teaching assistant?            

Respondent's Name (please print): ________________________________  fax number:__________________

Position/Title___________________________________________   email address:__________________

Institution or Organization:___________________________________________________________

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   Signature of respondent                                                                                                             Date