NSWOCC - Reference - Nurses Specialized in Wound, Ostomy, & Continence Canada (NSWOCC)

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NSWOCC - Reference

Background Information

Applicant First Name

Applicant Last Name

Your Name

Your Title

Your Place of Employment

Phone

How long have you known the Applicant?

In what capacity do you know the Applicant?

Ability Rating

Academic Potential

Writing skills

Computer and technology skills

Leadership ability

Judgement

Ability to work independently

Adaptability

Interpersonal relations with colleagues

Rapport with clients

Oral communication and presentation skills

Overall Rating

General Appraisal

With respect to Ability Rating, please tell us in narrative form why you rated the Applicant in this way. Reference to specific examples or situations are welcome.

Is there anything else you can tell us about this Applicant that may affect their performance in a program of advanced study? Please provide these and other comments in the text box below.

The information that you supply concerning this Applicant will be used in the admissions process. No application will be considered complete without this information. Please note that comments made on this form and/or attached document are NOT considered to be CONFIDENTIAL and may be viewed by the Applicant upon request.

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