Confidential Academic Reference

Student applications to HECUA programs are complete only with an academic reference. The online confidential academic reference must be completed by a college/university instructor or faculty member. The instructor should be able to comment on the student’s ability to work and learn within a group, and on the student's abilities and motivation.

To the faculty member:
Please complete and submit this one-page online form. The process may take anywhere from 10 to 30 minutes. Unfortunately, the web form cannot be saved partway through the process; you must complete it at one sitting. After you've submitted it you will receive an email confirmation of receipt. HECUA staff may contact you to verify a recommendation's authenticity.

HECUA deadlines for student applications and faculty letters of reference	Fall Programs	January Programs	Spring Programs	Summer Programs
HECUA programs in the U.S.	April 15	--	December 1	April 15
HECUA programs abroad	March 15	October 1	November 1	--

Reference name, title, department *

Reference college/university *

Reference email *

Reference phone *

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Student name *

Student college/university

HECUA program title

HECUA program term

A.) Relationship to HECUA program applicant

I have known the applicant for (X years, XX months): *

How have you known the applicant? (Check all that apply.) *

The applicant is/was in a class I teach.

I know the applicant through events, student groups, or discussions outside the classroom.

I am an adviser to the applicant.

Other

If "other" was selected above, please elaborate:

B.) The HECUA learning community

The success of a HECUA program relies on what happens within a small learning community. Your reference will be most helpful if it speaks to the student’s experience and preparedness for working on challenging issues in a group setting. There are no right or wrong answers, and the prompts aren't meant to be mutually exclusive. In other words, references could mark "True" to both statements about a student excelling in group and independent learning.

How does the applicant interact with self and others?

	True	Moderately True	Less True	Not True	Unknown
Seeks interaction with lots of people	Seeks interaction with lots of people - True	Seeks interaction with lots of people - Moderately True	Seeks interaction with lots of people - Less True	Seeks interaction with lots of people - Not True	Seeks interaction with lots of people - Unknown
Excels at group learning	Excels at group learning - True	Excels at group learning - Moderately True	Excels at group learning - Less True	Excels at group learning - Not True	Excels at group learning - Unknown
Excels at independent learning	Excels at independent learning - True	Excels at independent learning - Moderately True	Excels at independent learning - Less True	Excels at independent learning - Not True	Excels at independent learning - Unknown
Enjoys change	Enjoys change - True	Enjoys change - Moderately True	Enjoys change - Less True	Enjoys change - Not True	Enjoys change - Unknown
Enjoys routine	Enjoys routine - True	Enjoys routine - Moderately True	Enjoys routine - Less True	Enjoys routine - Not True	Enjoys routine - Unknown
Prefers to initiate projects	Prefers to initiate projects - True	Prefers to initiate projects - Moderately True	Prefers to initiate projects - Less True	Prefers to initiate projects - Not True	Prefers to initiate projects - Unknown
Prefers to carry out projects	Prefers to carry out projects - True	Prefers to carry out projects - Moderately True	Prefers to carry out projects - Less True	Prefers to carry out projects - Not True	Prefers to carry out projects - Unknown
Processes thoughts, preferences, or ideas externally	Processes thoughts, preferences, or ideas externally - True	Processes thoughts, preferences, or ideas externally - Moderately True	Processes thoughts, preferences, or ideas externally - Less True	Processes thoughts, preferences, or ideas externally - Not True	Processes thoughts, preferences, or ideas externally - Unknown
Processes thoughts, preferences, or ideas internally	Processes thoughts, preferences, or ideas internally - True	Processes thoughts, preferences, or ideas internally - Moderately True	Processes thoughts, preferences, or ideas internally - Less True	Processes thoughts, preferences, or ideas internally - Not True	Processes thoughts, preferences, or ideas internally - Unknown

C.) Recommendation

Please respond to the following questions in the space provided below.

Comment on the student's motivation for participating in this program. *

What situations cause the student stress? How does s/he respond to stressful situations? *

How does the student interact with others from different backgrounds? *

Final recommendation *

Enthusiastically support

Support

Support with reservation

Do not support

Confirmation of identity

Checking this space affixes my electronic signature and affirms the information above.

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Confidential Academic Reference

A.) Relationship to HECUA program applicant

B.) The HECUA learning community

C.) Recommendation