[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-279023-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-279023-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","bsn-program-nursing-reference-form-reference-form-re","BSN Program Nursing Reference Form - Reference Form RE","","BSN Program Nursing Reference Form for Lincoln University School of Nursing collects required third-party references to support an applicant. The applicant must submit three forms with specified referee types, with references mailed, emailed, or faxed to the school and a waiver signed on the back page. 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If none of these apply to you, a reference from supervisors, coworkers, teachers, etc. may apply. Do not use family, friends or acquaintances. References will not be accepted from the student. They must be mailed, emailed or faxed to the School of Nursing from the person giving the reference. Please sign waiver on back page.  \nREFERENCE FORM RE:   \nPrint Applicant's Name  \nPlease mail the completed form to:  \nLincoln University  \nSchool of Nursing  \n820 Chestnut St.  \nJefferson City, MO 65102 0029  \nReferences may be scanned and sent [to](to bsnadmissions@lincolnu.edu)[ ](to bsnadmissions@lincolnu.edu)[bsnadmissions@lincolnu.edu](to bsnadmissions@lincolnu.edu)  \nPlease include signature information on the email  \nOr fax to (573) 681-5422  \n1. What is your relationship to the applicant and how long have you known the applicant?  \n2. Do you place full confidence in the applicant’s integrity? Yes  No  Comments:  \n3. Please list the applicant’s chief strengths/weaknesses in regards to successfully pursuing a nursing degree?  \n\n| Strengths | Weaknesses |\n| --- | --- |\n|  |  |\n|  |  |\n|  |  |\n|  |  |\n\nPage 2 of 2  \n4. Please rate the applicant’s abilities in the following areas using the scale below:  \n5 = Outstanding 4 = Above Average 3 = Average 2 = Below Average 1 = Poor N = not applicable/no basis for judgment  \n\n|  | 5 | 4 | 3 | 2 | 1 | N |\n| --- | --- | --- | --- | --- | --- | --- |\n| Initiative |  |  |  |  |  |  |\n| Reliability |  |  |  |  |  |  |\n| Integrity |  |  |  |  |  |  |\n| Self-Discipline/Motivation |  |  |  |  |  |  |\n| Communication Skills |  |  |  |  |  |  |\n| Adaptability to stress |  |  |  |  |  |  |\n| Ability to work well with others |  |  |  |  |  |  |\n| Work Ethic |  |  |  |  |  |  |\n\n5. If you were a member of the Admission’s Committee, how would you rate this candidate? Please provide supporting information for your choice in the space provided below if your answer is “do not recommend”.  \na.   Highly recommend  \nb.   Recommend  \nc.  Do not Recommend  \nComments:  \nNAME: (Please Print)   Signature:   (Date)   \nPOSITION/TITLE  \n____________________________________________________________________________________  \nADDRESS:    \n_______  \nPHONE:    \nThe Family Educational Rights and Privacy Act of 1974 and its amendments guarantee student's access to educational records concerning them. Students are also permitted to waive their rights to access recommendations. If the student waives their right to see this form, the information you provided will remain confidential.  \nThe following signed statement indicates my intent regarding this recommendation:  \nI hereby give my permission for the School of Nursing to contact the above named person for any additional information/clarification deemed necessary and release him/her from any liability resulting from information provided.  \nI waive   I do not waive   my right to see this form or any supplemental notes or letters pertaining to this recommendation form.  \nPlease note, this reference form is not valid without the applicant’s signature.  \n(Applicant's Signature) (Date)","cbCaid7kcmuRqzki","https://ap.wps.com/l/cbCaid7kcmuRqzki","pdf",145978,"English","# Reference Form RE\n## Applicant instructions and submission requirements\n## Referee questions and relationship details\n## Strengths and weaknesses\n## Ability rating scale and committee recommendation\n## Signature, consent, and FERPA waiver","[{\"question\":\"How many nursing reference forms must the applicant submit and from whom?\",\"answer\":\"The applicant must submit three reference forms. One reference must be from a work supervisor; LPN graduates within the past 5 years must provide one from an LPN instructor; transfer students need at least one letter from an instructor.\"},{\"question\":\"What information must the referee provide on the form?\",\"answer\":\"The referee must describe their relationship and how long they have known the applicant, confirm confidence in the applicant’s integrity, list key strengths and weaknesses, and complete ratings across multiple abilities using the provided scale.\"},{\"question\":\"How is the referee’s recommendation submitted and what waiver is required?\",\"answer\":\"References must be mailed, emailed, or faxed to the School of Nursing, and the referee’s signed statement/waiver is required on the form to determine whether the student can access the recommendation information.\"}]","BSN Program Nursing Reference Form - Reference Form RE | PDF",1789514896]