RN to BSN Confidential Recommendation

BSN CONFIDENTIAL RECOMMENDATION FORM

Applicant

Evaluator

You have been chosen as a reference for the applicant for the Dixie State University RN to BSN Program. We are particularly interested in your appraisal of the applicant’s abilities and potential for education in a rigorous online program. Circle the number that is most characteristic of the applicant. Make any additional comments that you feel would be helpful in our evaluation.
1=Unremarkable
2=Below Average
3=Average
4=Above Average
5=Outstanding

Identifies and solves problems quickly and decisively.
Completes tasks and duties, honors commitments, accountable.
Projects positive demeanor and attitude toward life, school, job, etc.
Shows consistent, genuine, non-judgmental concern and care for the well-being of others.
Demonstrates preparation and interest in continuing high standard of performance.
Meets expectations of good grooming and professional nursing image.
Connects effectively and thoughtfully with others using open communication.
Demonstrates honesty, exhibits trustworthy and ethical behavior.
Demonstrates cooperation, fairness, respect, civility, collaboration, and patience.
Attendance and punctuality habits support required performance.

Evaluator Information

Please use a work or university email (you will receive a copy of this form)
Sending