Republic of the Philippines

DON HONORIO VENTURA TECHNOLOGICAL STATE UNIVERSITY

GRADUATE SCHOOL
2nd Floor, Graduate School Bldg., Cabambangan, Bacolor, Pampanga 2001
Tel. Number: (045) 458-0331
Email address: gradschool@dhvtsu.edu.ph
Website: www.dhvtsu.edu.ph

RECOMMENDATION FORM FOR ADMISSION TO GRADUATE PROGRAM

I. This section is to be completed by the applicant (please print)

Name: Mr./Ms. ______________________ _______________________ ______________________

Last Name First Name Middle/Maiden Name

Degree Sought: ____________________________________ Major: ______________________

[ ] 1st Tri [ ] 2nd Tri [ ] 3rd Tri Academic Year: ____________

II. This section is to be completed by the recommender.

How long have you known the applicant? Years: __________ Months: ____________
In what capacity have you known the applicant? ______________________________
Please rate the applicant on the following items.
No Basis for
Criteria Excellent Good Fair Poor Judgment

Academic ability
Intellectual capacity
Oral communication skills
Writing communication skills
Originality, creativity
Ability to solve problems; make decisions
Potential for conducting research
Work ethic and responsibility
Independence/initiative
Professionalism
Motivation for graduate study

Comments (Please address character traits, personality, and scholastic ability related to the
applicants background to do graduate work in the stated program):
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
(Please add additional comments/information on back of form or submit additional pages.)

I therefore __________ strongly recommend

__________ recommend
__________ recommend with reservations
__________ do not recommend
the applicant for admission to graduate studies in Don Honorio Ventura Technological State University.

Printed Name: ________________________________________ Signature: ________________

Position: ________________________________________ Date: ________________
Name and Address of Organization:
________________________________________________________
Note: Please return the sealed envelope (with your signature across its flop) to the applicant or mail directly to: The Dean,
Graduate School, Don Honorio Ventura Technological State University, Cabambangan, Bacolor, Pampanga.