OUS GRADUATE

PROGRAM
RECOMMENDATION
FORM

TO THE APPLICANT:

(1) Please fill out this form. Write your name, desired graduate program and the name of the recommending
person/recommender to whom you are submitting this form. Provide each individual making this
recommendation with an envelope addressed to:

THE REGISTRAR
Open University System
4th Floor, NALLRC Bldg., PUP Mabini Campus, Sta. Mesa, Manila

(2) Please submit the sealed and signed envelope together with the other application requirements.

RE: RECOMMENDATION FOR ADMISSION TO GRADUATE PROGRAM

 Ph. D in Engineering Management (PHDEM)  Master in Public Administration (MPA)

 Master in Communication (MC)  Master of Science in Construction Management (MSCM)
 Master in Education Management (MEM)  Others (please specify): ______________________________
 Master in Information Technology (MIT)

APPLICANT
LAST (FAMILY) NAME FIRST NAME MIDDLE NAME

TO THE RECOMMENDING PERSON:

The above-named student-applicant for the graduate program of this University has chosen you as
Academic Reference-Evaluator to help us in evaluating his/her application for admission. Please answer the
questions below. Accomplishing the form is very important to the applicant and to us.

Rest assured that the information you share with us will be held in strict confidence. Kindly enclose
the accomplished form in a duly sealed envelope with your signature on the flap and entrust it to the bearer
for personal delivery to us.

Thank you for your cooperation.

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = =
**Note: None of the evaluators should be a relative

1. How long have you known the applicant? In what capacity?

 As former professor, dean, head of the college/graduate school that you attended years
 As applicant’s employer/supervisor years
 Others (please specify) _______________________________________________ years

2. What specifically are the applicant’s major strengths in terms of graduate study?
__________________________________________________________________________________
__________________________________________________________________________________

4th Floor NALLRC Building, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Direct Line: 335-1726 | Trunk Line: 335-1787 or 335-1777 local 325
Website: www.pup.edu.ph | Email: ousregistrar@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 3. What specifically are the applicant’s major weaknesses in terms of graduate study?
__________________________________________________________________________________
__________________________________________________________________________________

4. Please comment on the applicant’s:

4.1. Moral character
______________________________________________________________________________
______________________________________________________________________________
4.2. Potential for success as a graduate student
______________________________________________________________________________
______________________________________________________________________________
4.3. Other factors which might assist the office in considering the applicant
______________________________________________________________________________
______________________________________________________________________________

5. Please evaluate the applicant against the following criteria: kindly put (√) for the appropriate criteria.
Very Not
Student Characteristics Outstanding Satisfactory Fair Poor
satisfactory Observed
Intellectual Ability
Breadth of general knowledge
Ability to express self in writing
Ability to express self orally
Perseverance
Emotional maturity
Originality
Professional attitude
Potential for research

 I recommend the admission of the applicant to PUP Open University System.

 Considering my total appreciation of the applicant, I do not fully endorse the admission of the
applicant to the PUP Open University System.

Signature over printed name :

Designation/Position: :
Agency/Company/College/University :
Date :

4th Floor NALLRC Building, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Direct Line: 335-1726 | Trunk Line: 335-1787 or 335-1777 local 325
Website: www.pup.edu.ph | Email: ousregistrar@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU

 PERSONAL
STATEMENT

To be filled-up by the Applicant

EXPERIENCES

1. List of experience which contributed to your professional growth such as supervisory activities, program
development, etc.

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2. Please describe unique personal experiences such as leadership activities, special assignments, etc.
explain what these experiences meant to you in terms of professional growth

_____________________________________________________________________________________
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4th Floor NALLRC Building, PUP A. Mabini Campus, Anonas Street, Sta. Mesa, Manila 1016
Direct Line: 335-1726 | Trunk Line: 335-1787 or 335-1777 local 325
Website: www.pup.edu.ph | Email: ousregistrar@pup.edu.ph

THE COUNTRY’S 1st POLYTECHNICU