Bernelli University

I.	Student's Name
	Student's Field of Study
	Date Date

II.	Your Name
	Title
	Organization
	Address
	Phone
	Fax
	Email
	Organization Web Site
	Best time of day to verify information by phone

III.	How long have you known the applicant?
	Less than 1 year
	2-5 years
	Over 5 years

	In what capacity?

	List three strengths of the applicant




	List one weakness of the applicant


	What in the applicant's past has prepared them for graduate studies?

	How can graduate studies assist the applicant in reaching their full potential?

	Why is the applicant suited to online graduate education?

	Describe how the applicant will react to traveling and living abroad in a different culture.

	What personal qualities enhance or detract from the applicant's leadership potential?