Course_________________ Semester/Year_____________ Final Grade ____

Instructor_____________________________

Based on faculty's perception of the student performance outcomes in the course and the self-evaluation of Standards for Essential Abilities and Attributes for admission in the Social Work major:

I.          Summary of student's strengths:

 II.          Summary of student'sdevelopmental needs:

 III.         Recommendation at this time for admission:

_____              I recommend permission to pursue a major in Social Work.

_____           Irecommend permission to pursue a major in SocialWork with the conditions describedbelow.

_____           I cannot recommend permission to pursue a major in Social Workbased on comments below.

______________________________                     ____________________

                      Faculty Member                                                    Date

Comments/Conditions or Conditional Recommendation.

Please identify the reasons for not recommending admission or for your conditional recommendation.  Include additional relevant information.