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from: (1) a former employer or supervisor; and (2) an unbiased colleague, of sufficient discretion
and knowledge of the work ethics, intellectual ability, administrative ability (demonstrated or
potential) and characteristics of the displaced HEI personnel currentlyemployedinthesameHEI
wherethedisplacedpersonnelwasformerlyengaged.
InstructiontoApplicant:
Please enter your name on the line marked Name of Applicant and request these persons to
complete and submit the duly accomplished forms, enclosed in a sealedenvelope,onorbefore
June5,2017,directlyto:
OfficeoftheProgramDirector
Kto12TransitionProgramManagementUnit
CommissiononHigherEducationCentralOffice
HEDCBuilding,C.P.Garcia,Diliman,QuezonCity
Attention:PolicyandInteragencyTeam
It is the Applicants responsibility to check with these persons in ensuring that the forms have
been submitted. Please note that your application will not be processed intheabsenceofthese
documents.
PERSONALRECOMMENDATION
GrantsunderCMONo.51,s.2016
Kto12TransitionProgram
OfficeoftheProgramDirector
Kto12TransitionProgramManagementUnit
CommissiononHigherEducationCentralOffice
HEDCBuilding,C.P.Garcia,Diliman,QuezonCity
Attention:PolicyandInteragencyTeam
The CommissionmayacceptlettersofrecommendationdeliveredbytheApplicant,providedthat
the accomplished letter is enclosed in a sealed envelope. To ensure confidentiality, it is
necessarytoaffixyoursignatureacrossthesealoftheenvelope.
1. Howlongyouhaveknowntheapplicantandinwhatcapacity?
Connection NumberofYears
Ashiscolleague
Ashisemployer/supervisor
Others(pleasespecify)
____________________
2. To what degree do you think the applicant is capable of adapting to condition that are
very different from the conditions he/she is familiar with? Please check () the
appropriateanswer.
Outstanding Satisfactory Unsatisfactory Poor
3. Whatdoyouconsiderhis/heroutstandingtalentsorstrengths?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
4. Whatdoyouconsiderhis/hermajorliabilitiesorweaknesses?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
5. Doestheapplicantinyouropinion,showpromiseforgrowthintoapositionofresponsible
leadership?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
6. Ratetheapplicantoneachcharacteristicusingthescale.Pleasecheck()the
appropriateanswer.
Characteristics Outstanding Satisfactory Unsatisfactory Poor
IntrinsicIntellectualability
Desireto
achieve/ambition
Potentialforsuccessin
majorfield
Integrity
Emotionalmaturity
Enthusiasm
Initiative
Resourcefulness
Responsibility
Carefulnessinwork
Originality/ingenuity
Compliancewithpolicies
andprocedures
Abilitytoworkwithothers
Abilitytoadjustinnew
situations
Leadershipqualities
Writtenexpressionskills
Oralexpressionskills
7. Whichoverallrecommendationwouldyougive?
Ihighlyrecommendtheapplicant
Irecommendtheapplicant
Irecommendwiththefollowingreservation
Idonotrecommendtheapplicant
Ifthereareanyimportantcommentsyouwouldliketogivewhicharenotsufficientlycoveredby
theabovequestions,wewouldgreatlyappreciateitifyouprovidethembelow:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Name:
Position:
Institutional
Affiliation:
Institutional
Address:
TelNo.:
EmailAddress:
Date/Signature:
Weareawarethatweareaskingforconsiderabletimeandeffortonyourpartincompletingthis
form.Therefore,wewanttoassureyouthatyourgenerousassistanceingivingthisappraisalis
veryhelpfultousandtheapplicantandisgreatlyappreciated.