Main Content RN-BSN Recommendation (Professional, Academic or Supervisor) All RN-BSN applicants are required to submit a professional recommendation, an academic recommendation, and a supervisor recommendation as part of his/her application to the Bachelor of Science in Nursing (BSN) program at the University of Washington Tacoma. Professional Recommendations: Needs to be completed by someone that has worked with the applicant within the past two years in a paid or volunteer position in a professional health care setting and can attest to the applicant's professionalism. For current nursing students this can be an instructor. Academic Recommendations: Needs to be completed by someone that has instructed the applicant within the past two years and can attest to the applicant's ability to learn. For nurses out of school for two or more years this can be a nurse educator. Supervisor Recommendations: Needs to be completed by someone that has supervised the applicant within the past two years in a paid or volunteer position in a health care setting and can attest to the applicant's clinical abilities. For current nursing students this can be an instructor. Important note: applicants are required to submit the application and all supplemental materials, including recommendations, no later than March 15. Late applications will be reviewed only as space allows. Recommender Information Your Last Name Your First Name Your School, Company or Agency Your Position or Title Your Email Address Applicant Information Full name of applicant you are recommending Type of Recommendation Professional Needs to be completed by someone that has worked with the applicant within the past two years in a paid or volunteer position in a professional health care setting and can attest to the applicant's professionalism. For current nursing students this can be an instructor. Academic Needs to be completed by someone that has instructed the applicant within the past two years and can attest to the applicant's ability to learn. For nurses out of school for two or more years this can be a nurse educator. Supervisor Needs to be completed by someone that has supervised the applicant within the past two years in a paid or volunteer position in a health care setting and can attest to the applicant's clinical abilities. For current nursing students this can be an instructor. In what capacity have you known the applicant? Instructor Preceptor Supervisor Employer Other… Enter other… How long have you known the applicant (label months or years) Enter in number of months or years Please check the statement that most accurately describes your recommendation based on the applicant's potential to complete the BSN program successfully: Highly Recommend Recommend Recommend with Reservation Do Not Recommend Performance Ratings Describe the applicant's performance by checking one appropriate space for each category below. Questions Excellent Above Average Average Below Average Poor Not Applicable Knowledge of nursing Excellent Above Average Average Below Average Poor Not Applicable Applies knowledge to practice Excellent Above Average Average Below Average Poor Not Applicable Implements new techniques and knowledge Excellent Above Average Average Below Average Poor Not Applicable Works well with others Excellent Above Average Average Below Average Poor Not Applicable Leads others Excellent Above Average Average Below Average Poor Not Applicable Manages/supervises others Excellent Above Average Average Below Average Poor Not Applicable Contributes as a member of organization Excellent Above Average Average Below Average Poor Not Applicable Communicates effectively Excellent Above Average Average Below Average Poor Not Applicable Works independently Excellent Above Average Average Below Average Poor Not Applicable Overall, is competent in own specialty Excellent Above Average Average Below Average Poor Not Applicable Responsibility Excellent Above Average Average Below Average Poor Not Applicable Adaptability Excellent Above Average Average Below Average Poor Not Applicable Acceptance of feedback Excellent Above Average Average Below Average Poor Not Applicable Ability to learn Excellent Above Average Average Below Average Poor Not Applicable If you have rated this applicant as "Below Average" or "Poor" in any of the above categories, please explain how s/he failed to demonstrate the relevant performance Based on the type of recommendation, describe the setting in which you have worked with this applicant and give examples of how s/he demonstrated clinical, professional, or academic abilities and the skills noted above. Professional Recommendations: Needs to be completed by someone that has worked with the applicant within the past two years in a paid or volunteer position in a professional health care setting and can attest to the applicant's professionalism. For current nursing students this can be an instructor. Academic Recommendations: Needs to be completed by someone that has instructed the applicant within the past two years and can attest to the applicant's ability to learn. For nurses out of school for two or more years this can be a nurse educator. Supervisor Recommendations: Needs to be completed by someone that has supervised the applicant within the past two years in a paid or volunteer position in a health care setting and can attest to the applicant's clinical abilities. For current nursing students this can be an instructor. Leave this field blank
