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URL:
https://grad.lewisu.edu/refer/?7769089434777896
Submission: On April 25 via api from US — Scanned from DE
Submission: On April 25 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
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<h1>Recommendation</h1>
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<div style="color: #ffffff; font-weight: bold; padding: 1px 5px 5px 5px; text-align: center;">Recommendation Status</div>
<div style="background-color: #ffffff; padding: 10px;"><b>Your recommendation has not yet been submitted. </b>If you have completed your recommendation and would like to submit it now, <a href="#submit">click here</a> to scroll to the bottom of
the submission page and then click the <b>"Submit"</b> button.</div>
</div>
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<th>Applicant</th>
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<option value="8576091695250087">Moudjibou Salawu</option>
<option value="7769089434777896" selected="selected">Moudjibou Salawu</option>
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<tr>
<th>Applying to</th>
<td>Lewis University Graduate Admission </td>
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<tr>
<th>Recommender</th>
<td>Franck Gavi</td>
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<h3 class="sys_refer">Applicant Information</h3>
<p style="font-weight: bold;">Applicant Name: Moudjibou Salawu</p>
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<div class="form_label">Graduate Program Recommendation Form</div>
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<div class="form_label">The person named below is applying for admission to a graduate program at Lewis University and has requested that your recommendation become a part of the application file to be used for the admission decision
process. Please complete the information below. Lewis University appreciates your help in assessing whether the applicant is prepared to succeed in graduate study.</div>
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<option value="AA">Aruba</option>
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<option value="BB">Barbados</option>
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<option value="BO">Belarus</option>
<option value="BE">Belgium</option>
<option value="BH">Belize</option>
<option value="BN">Benin</option>
<option value="BD">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BL">Bolivia</option>
<option value="BQ">Bonaire, Sint Eustatius, and ...</option>
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<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
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<option value="EZ">Czech Republic</option>
<option value="DA">Denmark</option>
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<option value="DR">Dominican Republic</option>
<option value="EC">Ecuador</option>
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<option value="ES">El Salvador</option>
<option value="EK">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EN">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="EU">Europa Island</option>
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<option value="FI">Finland</option>
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<option value="FG">French Guiana</option>
<option value="FP">French Polynesia</option>
<option value="FS">French Southern and Antarctic...</option>
<option value="GB">Gabon</option>
<option value="GA">Gambia, The</option>
<option value="GG">Georgia</option>
<option value="GM">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GO">Glorioso Islands</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GJ">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GT">Guatemala</option>
<option value="GK">Guernsey</option>
<option value="GV">Guinea</option>
<option value="PU">Guinea-Bissau</option>
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<option value="HM">Heard Island and McDonald Isl...</option>
<option value="HO">Honduras</option>
<option value="HK">Hong Kong S.A.R.</option>
<option value="HU">Hungary</option>
<option value="IC">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Iran</option>
<option value="IZ">Iraq</option>
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<option value="JN">Jan Mayen</option>
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<option value="SG">Senegal</option>
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<option value="SN">Singapore</option>
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<option value="BP">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="SF">South Africa</option>
<option value="SX">South Georgia and the South S...</option>
<option value="OD">South Sudan</option>
<option value="SP">Spain</option>
<option value="PG">Spratly Islands</option>
<option value="CE">Sri Lanka</option>
<option value="SU">Sudan</option>
<option value="NS">Suriname</option>
<option value="SV">Svalbard</option>
<option value="WZ">Swaziland</option>
<option value="SW">Sweden</option>
<option value="SZ">Switzerland</option>
<option value="SY">Syria</option>
<option value="TW">Taiwan</option>
<option value="TI">Tajikistan</option>
<option value="TZ">Tanzania</option>
<option value="TH">Thailand</option>
<option value="TT">Timor-Leste</option>
<option value="TO">Togo</option>
<option value="TL">Tokelau</option>
<option value="TN">Tonga</option>
<option value="TD">Trinidad and Tobago</option>
<option value="TE">Tromelin Island</option>
<option value="TS">Tunisia</option>
<option value="TU">Turkey</option>
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<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UP">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="UK">United Kingdom</option>
<option value="US">United States</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="NH">Vanuatu</option>
<option value="VT">Vatican City</option>
<option value="VE">Venezuela</option>
<option value="VM">Vietnam</option>
<option value="WF">Wallis and Futuna Islands</option>
<option value="WI">Western Sahara</option>
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<option value="ZA">Zambia</option>
<option value="ZI">Zimbabwe</option>
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<option value="AA">APO/FPO (AA)</option>
<option value="AE">APO/FPO (AE)</option>
<option value="AP">APO/FPO (AP)</option>
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<option value="FM">Federated States of Micronesia</option>
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<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
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<option value="MS">Mississippi</option>
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<option value="NE">Nebraska</option>
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<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
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<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
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<option value="TX">Texas</option>
<option value="UT">Utah</option>
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<option value="VI">Virgin Islands, U.S.</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
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<div class="form_question form_text form_question_36b69183-c0c1-49c6-a50e-0736f2d3a3f8 form_layout_stacked" id="form_question_36b69183-c0c1-49c6-a50e-0736f2d3a3f8" style="clear: left;" data-id="36b69183-c0c1-49c6-a50e-0736f2d3a3f8"
data-type="text" data-export="sys:app:reference:phone" data-required="1"><label class="form_label" for="form_36b69183-c0c1-49c6-a50e-0736f2d3a3f8">Work Phone</label>
<div class="form_responses"><input type="text" size="48" id="form_36b69183-c0c1-49c6-a50e-0736f2d3a3f8" name="form_36b69183-c0c1-49c6-a50e-0736f2d3a3f8" value="+1 303-607-2332" autocomplete="off" autocapitalize="off" spellcheck="false"
required="required"></div>
</div>
<div class="form_question form_text form_question_f763e2fe-b410-4c30-99dc-aa9add0ffbb4 form_layout_stacked" id="form_question_f763e2fe-b410-4c30-99dc-aa9add0ffbb4" style="clear: left;" data-id="f763e2fe-b410-4c30-99dc-aa9add0ffbb4"
data-type="text" data-export="sys:app:reference:field:ref_workemail" data-required="1"><label class="form_label" for="form_f763e2fe-b410-4c30-99dc-aa9add0ffbb4">Work Email</label>
<div class="form_responses"><input type="text" size="48" id="form_f763e2fe-b410-4c30-99dc-aa9add0ffbb4" name="form_f763e2fe-b410-4c30-99dc-aa9add0ffbb4" value="" autocomplete="off" autocapitalize="off" spellcheck="false"
required="required"></div>
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<div class="form_question form_text form_question_a466955d-6db3-4fb7-98fb-af9d044b9ef1 form_layout_stacked" id="form_question_a466955d-6db3-4fb7-98fb-af9d044b9ef1" style="clear: left;" data-id="a466955d-6db3-4fb7-98fb-af9d044b9ef1"
data-type="text" data-export="sys:app:reference:field:ref_capacityknown" data-required="1"><label class="form_label" for="form_a466955d-6db3-4fb7-98fb-af9d044b9ef1">In What Capacity Do You Know The Applicant?</label>
<div class="form_responses"><input type="text" size="48" id="form_a466955d-6db3-4fb7-98fb-af9d044b9ef1" name="form_a466955d-6db3-4fb7-98fb-af9d044b9ef1" value="" autocomplete="off" autocapitalize="off" spellcheck="false"
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<div class="form_question form_select form_question_c7cde42f-7509-4158-9932-68ad1964ab55 form_layout_stacked" id="form_question_c7cde42f-7509-4158-9932-68ad1964ab55" style="clear: left;" data-id="c7cde42f-7509-4158-9932-68ad1964ab55"
data-type="select" data-export="sys:app:reference:field:ref_yearsknown"><label class="form_label" for="form_c7cde42f-7509-4158-9932-68ad1964ab55">How Long Have You Known the Applicant?</label>
<div class="form_responses"><select size="1" id="form_c7cde42f-7509-4158-9932-68ad1964ab55" name="form_c7cde42f-7509-4158-9932-68ad1964ab55" autocomplete="off">
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<option value="4fc0213f-a699-4e48-aa88-ecd52bb702b6" data-text="Less than 1 year">Less than 1 year</option>
<option value="5197c3e0-ff80-48fa-9c19-03362a343886" data-text="1-5 years">1-5 years</option>
<option value="e69edf30-d5a9-4898-b342-02f63fef0276" data-text="5-10 years">5-10 years</option>
<option value="2216a9ec-ce8f-46fc-aa04-ac666e85f50e" data-text="More than 10 years">More than 10 years</option>
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<div class="form_question form_header form_question_82e0c114-7107-4634-b62f-6fecf997b01d form_layout_stacked" id="form_question_82e0c114-7107-4634-b62f-6fecf997b01d" style="clear: left;" data-id="82e0c114-7107-4634-b62f-6fecf997b01d"
data-type="header">
<div class="form_label">Graduate programs are rigorous and require that the student engage in serious study, critical reflection, and informed discourse. Please rate the applicant on the following characteristics:</div>
</div>
<div class="form_question form_likert form_question_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd form_layout_table" id="form_question_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd" style="clear: left;" data-id="2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
data-type="likert" data-export="sys:app:reference:field:ref_academic_potential">
<fieldset id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd">
<legend>Academic Potential</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Academic Potential</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="10eebf52-91c9-4949-8dbb-7394564993aa" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="e0a39172-5eab-400f-8ad9-9a5fa8802c73" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="3302dd5a-bb07-4672-886f-eec299d7eebb" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="ef08d734-a543-482f-9368-aab4e224517c" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="b0aca399-6849-49ae-be8e-2d43a92add06" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_2b3c34fc-9cb2-4a32-b9ef-587ab9203abd"
value="01598c37-db0c-4aaa-88dc-fc1772380438" autocomplete="off"></div>
</div>
</div>
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</div>
<div class="form_question form_likert form_question_9789b982-c945-4360-92f1-ee8ca16e98b2 form_layout_table" id="form_question_9789b982-c945-4360-92f1-ee8ca16e98b2" style="clear: left;" data-id="9789b982-c945-4360-92f1-ee8ca16e98b2"
data-type="likert" data-export="sys:app:reference:field:ref_intell_ability">
<fieldset id="form_9789b982-c945-4360-92f1-ee8ca16e98b2">
<legend>Intellectual Ability</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_9789b982-c945-4360-92f1-ee8ca16e98b2_6">No Basis for Judgment</label></div>
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<div class="form_label">Intellectual Ability</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
value="4d135096-402a-44e8-923d-781d35a93ffd" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
value="e56c99e4-03c8-4ab9-8ac8-97f6f6194105" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
value="c017b483-ed18-4056-a614-9ccc69cb4c56" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
value="05b08b50-a07e-47b1-a4c7-6608d5a35aa3" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
value="5ceae57b-6b63-41ea-a090-69fbb16dc4f4" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_9789b982-c945-4360-92f1-ee8ca16e98b2_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_9789b982-c945-4360-92f1-ee8ca16e98b2"
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</div>
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</div>
</div>
<div id="form_page_2" data-id="4566c2aa-29f0-490b-8a6f-4a6cfb9aff5b" class="form_page form_page_2 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_8c9fd648-a7b7-47ec-805d-761d26ac7628 form_layout_table" id="form_question_8c9fd648-a7b7-47ec-805d-761d26ac7628" style="clear: left;" data-id="8c9fd648-a7b7-47ec-805d-761d26ac7628"
data-type="likert" data-export="sys:app:reference:field:ref_motivation">
<fieldset id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628">
<legend>Motivation/Initiative</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_6">No Basis for Judgment</label></div>
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<div class="form_label">Motivation/Initiative</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_8c9fd648-a7b7-47ec-805d-761d26ac7628"
value="3d180db8-7199-4980-81be-f44378d95238" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_8c9fd648-a7b7-47ec-805d-761d26ac7628"
value="0ce7acc5-50cc-4166-afb4-b293b30ccdeb" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_8c9fd648-a7b7-47ec-805d-761d26ac7628"
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<div class="form_response" style="width: 16%;">
<div><input id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_8c9fd648-a7b7-47ec-805d-761d26ac7628"
value="6d60e870-7ba4-4038-96ee-c4f5720e3712" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8c9fd648-a7b7-47ec-805d-761d26ac7628_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_8c9fd648-a7b7-47ec-805d-761d26ac7628"
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<div class="form_response" style="width: 16%;">
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<div id="form_page_3" data-id="532acef6-7767-4abf-b015-aabb338dfcf3" class="form_page form_page_3 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98 form_layout_table" id="form_question_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98" style="clear: left;" data-id="dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
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<fieldset id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98">
<legend>Self-discipline</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_6">No Basis for Judgment</label></div>
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<div class="form_label">Self-discipline</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="fef3a4f3-bcde-4b01-bab3-60c353125809" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="930fc3fa-6614-4215-9bf2-460caecb24d6" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="2015f5e2-c740-413b-9e8c-6ae32dbf7fe9" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="1db9cff6-7b8b-48e0-8970-45ce1d6852b0" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="bc355737-7ee0-4045-a6b3-62534abe9818" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_dd6f6654-5bc4-49e1-a818-8d7a2d51fd98"
value="80b3fdf0-aec4-4a07-9f7e-258ddf50e06b" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_4" data-id="27b064fc-4c5d-4f92-b8b6-3136ce25dded" class="form_page form_page_4 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_f86ea525-01f1-40a6-aa81-0706cd356722 form_layout_table" id="form_question_f86ea525-01f1-40a6-aa81-0706cd356722" style="clear: left;" data-id="f86ea525-01f1-40a6-aa81-0706cd356722"
data-type="likert" data-export="sys:app:reference:field:ref_selfconfidence">
<fieldset id="form_f86ea525-01f1-40a6-aa81-0706cd356722">
<legend>Self-confidence</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_f86ea525-01f1-40a6-aa81-0706cd356722_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Self-confidence</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="1052502e-5dd2-4e02-b3b9-a8c82674cd39" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="ed57eac3-0636-4165-8037-865270ee3f42" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="27eb1d2a-a21b-4922-8bf6-e3400ab035fb" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="26bb82cc-9ec5-4876-a81e-5190cb45102d" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="02977c2b-130e-4b72-83cc-7d94c2f549b3" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_f86ea525-01f1-40a6-aa81-0706cd356722_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_f86ea525-01f1-40a6-aa81-0706cd356722"
value="0ef26825-ea6f-4ef9-8a84-a3c777076daa" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_5" data-id="6ac05838-6489-4274-8758-f68afb5eca96" class="form_page form_page_5 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_03a4d677-d084-4807-9d59-d7ee1274b141 form_layout_table" id="form_question_03a4d677-d084-4807-9d59-d7ee1274b141" style="clear: left;" data-id="03a4d677-d084-4807-9d59-d7ee1274b141"
data-type="likert" data-export="sys:app:reference:field:ref_time_mgmt">
<fieldset id="form_03a4d677-d084-4807-9d59-d7ee1274b141">
<legend>Time Management</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_03a4d677-d084-4807-9d59-d7ee1274b141_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Time Management</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="8b196280-4e5d-49ec-bbfd-a7da75a7de2e" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="f761da75-be48-434a-9688-6368cdd7b29e" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="2d2aedf1-3132-4b3f-b99a-267fc8041350" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="1fabf46f-75b4-44fd-a2c1-9c3867c91413" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="d147cb79-6b2c-426f-87bf-2b3a1b20fccf" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_03a4d677-d084-4807-9d59-d7ee1274b141_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_03a4d677-d084-4807-9d59-d7ee1274b141"
value="7cb13a1a-b210-4d50-80cc-20a0bdeb3684" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_6" data-id="56470ea7-844d-48bc-8fb5-81d2a52a1d24" class="form_page form_page_6 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_fa57bc05-9475-4f94-b2ec-ad6973f7395e form_layout_table" id="form_question_fa57bc05-9475-4f94-b2ec-ad6973f7395e" style="clear: left;" data-id="fa57bc05-9475-4f94-b2ec-ad6973f7395e"
data-type="likert" data-export="sys:app:reference:field:ref_autonomy">
<fieldset id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e">
<legend>Autonomy</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Autonomy</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="569cba09-60e0-4271-83d3-d597fedaccb4" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="1904b22b-b802-4a1b-9d40-f98116822d14" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="316c40bc-ab82-4732-ab09-9984e20cdd4f" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="6c68d1b9-b772-4783-a064-355476531717" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="3d98dc63-789d-4024-82c5-9205e0194efa" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_fa57bc05-9475-4f94-b2ec-ad6973f7395e"
value="77b0b4df-167b-469d-bdee-46021d8d945c" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_7" data-id="384e29af-154e-4fd9-b3ef-edb0c5eab41b" class="form_page form_page_7 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_2421a30f-4e83-43eb-8ef1-5ce214596e0b form_layout_table" id="form_question_2421a30f-4e83-43eb-8ef1-5ce214596e0b" style="clear: left;" data-id="2421a30f-4e83-43eb-8ef1-5ce214596e0b"
data-type="likert" data-export="sys:app:reference:field:ref_follow_through">
<fieldset id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b">
<legend>Follow-through</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Follow-through</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="db511bb0-17fc-4c9e-a65d-889a897db1bc" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="4f91a23e-ee51-42b2-9988-842b58ec3a99" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="4e7ae3ef-ffde-44ac-ba76-bc995b231443" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="93835d4a-cafc-46b0-a0b2-98ba586203be" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="734c2605-4e3e-420d-b683-b712c1f868a8" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_2421a30f-4e83-43eb-8ef1-5ce214596e0b"
value="aeb28725-a619-4010-8df6-b1855251b02e" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_8" data-id="9c4cba83-58eb-46d9-9504-8cbbc1549de7" class="form_page form_page_8 form_page_multiple" style="clear: left;">
<div class="form_question form_header form_question_45a48a96-50d1-4c18-b9de-5ba9289d984f form_layout_stacked" id="form_question_45a48a96-50d1-4c18-b9de-5ba9289d984f" style="clear: left;" data-id="45a48a96-50d1-4c18-b9de-5ba9289d984f"
data-type="header">
<div class="form_label">Graduate courses require students to communicate well in small and large group settings. Please rate the applicant on the following skills and attributes:</div>
</div>
<div class="form_question form_likert form_question_a1e160b5-e580-4246-9eb9-826b8a6b6f47 form_layout_table" id="form_question_a1e160b5-e580-4246-9eb9-826b8a6b6f47" style="clear: left;" data-id="a1e160b5-e580-4246-9eb9-826b8a6b6f47"
data-type="likert" data-export="sys:app:reference:field:ref_oralcommunication">
<fieldset id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47">
<legend>Oral Communication</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Oral Communication</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="b75b2eb6-83ae-4319-8ee2-ab05916577c5" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="26cb300d-9200-4434-90f3-22902148c2e6" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="dc6c598d-2e07-43ab-ae08-92189faa3587" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="387febf2-884d-4e32-8e77-3c43240a0ca8" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="b41b07f2-6c36-4bba-b7e0-874af628f817" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_a1e160b5-e580-4246-9eb9-826b8a6b6f47"
value="ed087c68-caee-43b7-8e91-86e8a41bec00" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_9" data-id="985bd94a-03f3-4d5d-b629-3871cf35eb12" class="form_page form_page_9 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_67db9ae7-2e8a-481c-b4f9-bf01082c2a48 form_layout_table" id="form_question_67db9ae7-2e8a-481c-b4f9-bf01082c2a48" style="clear: left;" data-id="67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
data-type="likert" data-export="sys:app:reference:field:ref_writtencomm">
<fieldset id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48">
<legend>Written Communication</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Written Communication</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="83e5210a-eb85-4df4-935f-1e80e8b14025" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="072dbf4d-c49f-4496-97da-c3bf5f9593fb" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="e7390634-eb78-4c11-b9f6-80748bcb9351" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="b4c420c7-5f2a-452c-933f-5285c97ef05d" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="a38b3fb1-735d-493d-8282-9333812e2510" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_67db9ae7-2e8a-481c-b4f9-bf01082c2a48"
value="b9ff0d1c-3ea8-4351-8c7c-a8cb6febd4d2" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_10" data-id="a7493d15-a73b-4950-9999-600933f448c3" class="form_page form_page_10 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_aa67afb9-0ec3-4808-a192-83bbf1b00a0f form_layout_table" id="form_question_aa67afb9-0ec3-4808-a192-83bbf1b00a0f" style="clear: left;" data-id="aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
data-type="likert" data-export="sys:app:reference:field:ref_collabskills">
<fieldset id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f">
<legend>Collaboration Skills</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_1">Upper 5 %</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Collaboration Skills</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_1" type="radio" data-label="Upper 5 %" aria-label="Upper 5 %" data-text="Upper 5 %" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="f596e7b1-5a49-437b-97c8-53e53f974e40" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="815603ad-c64f-46e6-a929-284cf54435d6" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="b733be2c-2f01-4b00-bc21-33c2d58fac44" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="e3a06fbe-e19c-4fec-91b7-5ce6001c4549" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="fa72227c-a099-4d97-b5a6-ec6ae4a0d0c5" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_aa67afb9-0ec3-4808-a192-83bbf1b00a0f"
value="1893a910-b2fe-4e44-b6b4-3749f0d65ce8" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_11" data-id="1d85a3ad-b644-47ab-9c30-486f438966ac" class="form_page form_page_11 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_c508f709-390f-4cbd-b24f-f81004c36a3a form_layout_table" id="form_question_c508f709-390f-4cbd-b24f-f81004c36a3a" style="clear: left;" data-id="c508f709-390f-4cbd-b24f-f81004c36a3a"
data-type="likert" data-export="sys:app:reference:field:ref_problemsolving">
<fieldset id="form_c508f709-390f-4cbd-b24f-f81004c36a3a">
<legend>Problem Solving/Response to Ambiguity</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_c508f709-390f-4cbd-b24f-f81004c36a3a_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Problem Solving/Response to Ambiguity</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="36a27a09-0189-4bfc-b87b-845144c3f645" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="4d54c583-aebb-417f-b823-b716793298b3" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="b5d2b74a-10d3-46b7-b8a8-c7f2e20dd955" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="f3664740-c0cf-47a1-a040-707e2fd11167" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="fcf64b63-cfed-4ada-85c5-80a954fed585" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_c508f709-390f-4cbd-b24f-f81004c36a3a_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_c508f709-390f-4cbd-b24f-f81004c36a3a"
value="6e032c3a-3af2-48a8-96f3-fb984f870223" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_12" data-id="923f9002-52d3-41e5-b67d-32e3a3d14d0b" class="form_page form_page_12 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_921d4951-c7f4-48d7-914e-3a40bbdb88b7 form_layout_table" id="form_question_921d4951-c7f4-48d7-914e-3a40bbdb88b7" style="clear: left;" data-id="921d4951-c7f4-48d7-914e-3a40bbdb88b7"
data-type="likert" data-export="sys:app:reference:field:ref_leadability">
<fieldset id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7">
<legend>Leadership Ability</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Leadership Ability</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="fedd6dd8-9c7c-4d63-9386-f7b78325af81" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="a01ac545-9278-42f4-927a-9c973ce47577" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="b3b16def-0b17-455a-8648-886bb02cf611" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="6740bab6-8549-4640-9fa1-1fa549faa093" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="5f335dfe-fc4d-4f88-b91a-0c4e9cea50f5" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7_6" type="radio" data-label="No Basis for Judgment" aria-label="No Basis for Judgment" data-text="No Basis for Judgment" name="form_921d4951-c7f4-48d7-914e-3a40bbdb88b7"
value="2770e05c-f491-4b61-bd56-9a2d3de6c2ae" autocomplete="off"></div>
</div>
</div>
</fieldset>
</div>
</div>
<div id="form_page_13" data-id="01bd0b7a-680c-4112-a561-c8e9a673b6eb" class="form_page form_page_13 form_page_multiple" style="clear: left;">
<div class="form_question form_likert form_question_8e5c2d03-7b71-49a8-9c5c-620e52b94fba form_layout_table" id="form_question_8e5c2d03-7b71-49a8-9c5c-620e52b94fba" style="clear: left;" data-id="8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
data-type="likert" data-export="sys:app:reference:field:ref_commeffectively">
<fieldset id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba">
<legend>Communicates Effectively with Diverse Audiences</legend>
<div class="form_responses_labels">
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_1">Upper 5%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_2">Upper 10%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_3">Upper 25%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_4">Upper 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_5">Lower 50%</label></div>
<div class="form_response_label" style="width: 16%;"><label for="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_6">No Basis for Judgment</label></div>
</div>
<div class="form_label">Communicates Effectively with Diverse Audiences</div>
<div class="form_responses">
<div class="form_response" style="width: 16%;">
<div><input id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_1" type="radio" data-label="Upper 5%" aria-label="Upper 5%" data-text="Upper 5%" name="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
value="17527cd1-51be-41c0-9991-36c4674cf9e7" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_2" type="radio" data-label="Upper 10%" aria-label="Upper 10%" data-text="Upper 10%" name="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
value="eed7e888-d848-4ba6-a6ca-4841a0ba258f" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_3" type="radio" data-label="Upper 25%" aria-label="Upper 25%" data-text="Upper 25%" name="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
value="d90ee239-2078-45b4-89c8-4870d2d98fab" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_4" type="radio" data-label="Upper 50%" aria-label="Upper 50%" data-text="Upper 50%" name="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
value="e6e10a52-7e5f-491c-80d1-d689d96cd392" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
<div><input id="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba_5" type="radio" data-label="Lower 50%" aria-label="Lower 50%" data-text="Lower 50%" name="form_8e5c2d03-7b71-49a8-9c5c-620e52b94fba"
value="1e4f4995-fc18-4f2e-afdf-2c5097e31a65" autocomplete="off"></div>
</div>
<div class="form_response" style="width: 16%;">
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<div class="form_label">Please comment on the applicant's ability to pursue advanced studies and to be academically successful in the program:</div>
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<div class="form_label"><strong>For Nursing Programs, please provide your credentials (i.e. RN, MSN, etc.)</strong></div>
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<div class="form_label"><strong>Signature of Individual Completing the Recommendation</strong></div>
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<div class="form_question form_date form_question_5c9c7c87-af76-4a2f-b5f0-fa2031d910e1 form_layout_stacked" id="form_question_5c9c7c87-af76-4a2f-b5f0-fa2031d910e1" style="clear: left;" data-id="5c9c7c87-af76-4a2f-b5f0-fa2031d910e1"
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<legend>Date</legend>
<div class="form_label">Date</div>
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<option value="01">January</option>
<option value="02">February</option>
<option value="03">March</option>
<option value="04">April</option>
<option value="05">May</option>
<option value="06">June</option>
<option value="07">July</option>
<option value="08">August</option>
<option value="09">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
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<option value=""></option>
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
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<option></option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
<option value="2042">2042</option>
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<div style="clear: left;"></div>
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<h3 class="sys_refer">Submission</h3>
<v>Thank you for submitting your Letter of Recommendation Form.</v>
<p>In place of your signature, please type your full legal name:</p>
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<p style="background-color: #aa0000; color: #ffffff; margin: 15px 0 0 0; padding: 5px 10px;">Please note that you may not edit your recommendation after submission.<br>Do you want to submit your recommendation now? Click the "Submit" button below.
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</form>Text Content
This website uses scripting to enhance your browsing experience. Enable JavaScript in your browser and then reload this website. This website uses resources that are being blocked by your network. Contact your network administrator for more information. * Current Students * Fac/Staff * Parents * Alumni * Support LU * Visit Us * Request Info * Apply Now RECOMMENDATION Recommendation Status Your recommendation has not yet been submitted. If you have completed your recommendation and would like to submit it now, click here to scroll to the bottom of the submission page and then click the "Submit" button. ApplicantMoudjibou SalawuMoudjibou SalawuApplying toLewis University Graduate Admission RecommenderFranck Gavi APPLICANT INFORMATION Applicant Name: Moudjibou Salawu Graduate Program Recommendation Form The person named below is applying for admission to a graduate program at Lewis University and has requested that your recommendation become a part of the application file to be used for the admission decision process. Please complete the information below. Lewis University appreciates your help in assessing whether the applicant is prepared to succeed in graduate study. First Name Last Name Position/Title Company Name Company Address Company Address Country AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAshmore and Cartier IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and ...Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvi...Faroe IslandsFederated States of MicronesiaFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic...GabonGambia, TheGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald Isl...HondurasHong Kong S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau S.A.R.Macedonia, The Former Yugosla...MadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South S...South SudanSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna IslandsWestern SaharaYemenZambiaZimbabwe Street City State Select StateAlabamaAlaskaAmerican SamoaAPO/FPO (AA)APO/FPO (AE)APO/FPO (AP)ArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMariana IslandsMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin Islands, U.S.VirginiaWashingtonWest VirginiaWisconsinWyoming Postal Code Work Phone Work Email In What Capacity Do You Know The Applicant? How Long Have You Known the Applicant? Less than 1 year1-5 years5-10 yearsMore than 10 years Graduate programs are rigorous and require that the student engage in serious study, critical reflection, and informed discourse. Please rate the applicant on the following characteristics: Academic Potential Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Academic Potential Intellectual Ability Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Intellectual Ability Motivation/Initiative Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Motivation/Initiative Self-discipline Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Self-discipline Self-confidence Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Self-confidence Time Management Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Time Management Autonomy Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Autonomy Follow-through Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Follow-through Graduate courses require students to communicate well in small and large group settings. Please rate the applicant on the following skills and attributes: Oral Communication Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Oral Communication Written Communication Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Written Communication Collaboration Skills Upper 5 % Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Collaboration Skills Problem Solving/Response to Ambiguity Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Problem Solving/Response to Ambiguity Leadership Ability Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Leadership Ability Communicates Effectively with Diverse Audiences Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Communicates Effectively with Diverse Audiences Flexibility Upper 5% Upper 10% Upper 25% Upper 50% Lower 50% No Basis for Judgment Flexibility Please comment on the applicant's ability to pursue advanced studies and to be academically successful in the program: For Nursing Programs, please provide your credentials (i.e. RN, MSN, etc.) Signature of Individual Completing the Recommendation Date Date JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember123456789101112131415161718192021222324252627282930312000200120022003200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030203120322033203420352036203720382039204020412042 SUBMISSION Thank you for submitting your Letter of Recommendation Form. In place of your signature, please type your full legal name: Please note that you may not edit your recommendation after submission. Do you want to submit your recommendation now? Click the "Submit" button below. SubmitSave for Later One University Parkway Romeoville, IL 60446-2200 (815) 838-0500 | (800) 897-9000 * apply now * virtual tour * schedule a visit * ask a question Log Into * apply now * virtual tour * schedule a visit * ask a question One University Parkway Romeoville, IL 60446-2200 (815) 838-0500 | (800) 897-9000 Lewis University is authorized to operate as a postsecondary educational institution by the Illinois Board of Higher Education Consumer Information ©2018 Lewis University. All rights reserved. Email Webmaster¿Habla Español?Site Index