DCP Reference Submission

Referees should be professionally or academically related to the applicant.
If the applicant has graduated within the past 3 years:
Referee 1 - academic thesis supervisor OR practicum supervisor
Referee 2 - master's professor, clinical supervisor OR registered colleague, e.g., BCACC, CCPA, CRPO
If the applicant graduated more than 3 years ago, submit two references from either of the following options:
1 - academic thesis supervisor OR practicum supervisor, and/or
2 - master's professor, clinical supervisor OR registered colleague, e.g., BCACC, CCPA, CRPO

TO THE REFEREE (YOU): The applicant has applied for admission to the Doctor of Counselling and Psychotherapy at Yorkville University and has nominated you as a referee. The Admissions Committee will look to the letters of reference for evidence that the applicant is prepared for graduate-level study in counselling and is likely to succeed in the program. Your candid appraisal of the applicant is appreciated. The letter of reference is conﬁdential and will be used for admissions purposes only.

REFEREE (YOUR) Name:

First

Last

APPLICANT Name:

First

Last

Please ensure REFEREE and APPLICANT names are not the same.

Relationship to applicant:

If Other, please provide detail:

Have you had any contact with this applicant within the past three years?

Yes

Applicant's abilities: Please rank the applicant's abilities using the categories below.

Intellectual Capacity

Work Ethic

Academic Preparedness

Writing Skills

Originality

Communication

Initiative

Recommendation

Briefly describe the nature and context in which you have directly observed the applicant’s work.

In the box below, describe ways the applicant has demonstrated academic or scholarly ability, such as critical thinking, analysis, and the integration of theory and literature.

In the box below, list ways the applicant shows clinical competence and professional integrity.

In the box below, name any personal qualities that highlight the applicant’s resilience and suitability for doctoral study.

In the box below, provide examples of the applicant’s leadership, teamwork, or contributions to their community or profession.

In the box below, identify any unique qualities, experiences, or perspectives that make the applicant stand out.

In the box below, please offer any additional comments or concerns that may assist the Admissions Committee in evaluating the applicant and determining admissibility for doctoral studies.

Referee’s (Your) Name in Print:

Your Title:

Your Work Address:

Your Signature

Clear

Your Phone:

Your Fax:

Your Email:

Date:

If you are human, leave this field blank.