Applicant Reference Form The University of Tulsa Graduate School
Applicant Reference Form The University of Tulsa Graduate School
The Family Education Rights and Privacy Act of 1974 grants to the student the right to waive his/her access rights to certain educational records. If
the right to access is waived, the contents of this reference form will be kept confidential.
I o do o do not waive my right of access to The University of Tulsa Graduate School's applicant reference form.
Student Signature Date
Address
Please rate the applicant in comparison with a representative group (see note below) of students in the same field who have
approximately the same amount of experience and training:
OUTSTANDING VERY GOOD GOOD AVERAGE BELOW UNABLE TO
Highest 5% Next Lowest 5% Next Lowest Next Lowest AVERAGE JUDGE
15% 25% Lowest 50%
ACADEMIC
PERFORMANCE
INTELLECTUAL
POTENTIAL
MOTIVATION
FOR PROPOSED
PROGRAM OF
STUDY
Check the educational level of the representative group with whom the o College o First Year o Advanced
applicant is compared: Seniors Grad. Students Grad. Students
OVERALL SCHOLARLY ABILITY
(Summary Evaluation) o Outstanding o Very Good o Good o Average o Below Average
Some gifted students have mediocre scholastic records. In your opinion, is o Yes o No o Unable to Judge
the applicant's scholastic record, as you know it, an accurate index of In your answer is "No," please explain in your written estimate of the
his/her scholastic ability. applicant's potential as a graduate student.
We would appreciate your commenting on any other factors including aspects of character that bear on the applicant's ability to complete an
advanced degree and fulfill his/her career objectives.
Signature Date
The University of Tulsa employs, advances, admits, and treats in its employment and educational programs, all persons without regard to their race,
color, national or ethnic origin, sex, age, religion, or status as a veteran.
Please Return This The University of Tulsa Graduate School
Statement Directly To: 800 South Tucker Drive, Tulsa OK 74104-3189