Unite For Sight Recommendation Form

The recommender will receive a link by email to an online recommendation form that is customized for each applicant.  This email is automatically sent to each recommender when the applicant submits their application.

Instructions For The Recommender

We appreciate your time to complete this form.  Your honest appraisal of this applicant is very important to Unite For Sight and to the eye clinic in a developing country where the applicant would like to participate.  Your evaluation will help us to assess whether the applicant will be a quality Unite For Sight participant. 

Unite For Sight applies best practices in eye care, public health, and volunteerism to achieve our goal of high quality eye care for all.  Global Impact Fellows are trained to support and assist local ophthalmologists, ophthalmic nurses, and optometrists in developing countries.  Please review Unite For Sight's Best Practices in Volunteerism and Best Practices in Public Health & Community Eye Care in order to learn about Unite For Sight's Global Impact Fellow program to which you are recommending an applicant.

The applicant has waived right of access to this letter of recommendation.

Recommendation Form

*Name of Applicant to Unite For Sight Programs:
*Your Name:
*Position:
Professional affiliation:
*Email (must match professional affiliation):
*Phone #:
*How well do you know the applicant:
*How long have you known the applicant?
*In what capacity have you been associated with the applicant?
If Other, please specify:
Please check your ratings for the applicant in the following areas:
*Maturity:
*Has a Positive Attitude/Outlook:
*Tactful and Constructive in Personal Interactions:
*Respectful Of Others:
*Accepts Direction and Advice:
*Follows Directions of Supervisors:
*Responds Well to Supervision and Constructive Criticism:
*Ability to Work with Others:
*Cooperative disposition:
*Patience:
*Communication Skills:
*Integrity/Honesty:
*Self-Reliance and Independence:
*Professionalism:
*Humility/Humble:
*Interpersonal Relations:
*Acceptance of Responsibility:
*Reliability:
*Cultural Sensitivity:
*Social Awareness and Concern:
*Ability To Adapt To New Situations:
*Flexibility:
*Empathy and Compassion:
*Consideration For Feelings/Opinions of Others:
*Judgment and Common Sense (ability and foresight in everyday decisions):
*Achieves Ambitions and Goals:
*Motivation For International Service:
*Proactive:
*Work Ethic:
*Commitment To Quality Work:
*Ability To Meet Deadlines:
*Carefulness of Work:
*Dependability:
*Perseverance:
*Initiative:
*Critical Thinking:
*Intellectual Curiosity:
*Commitment to Learning Opportunities:
*Leadership Abilities:
If you answered "No Basis For Judgment," please discuss why you are not able to judge the applicant in that area.
Please list THE TOP 3 most representative qualities that you have observed in the applicant: compassionate, cooperative, creative, dedicated, dependable, easy going, friendly, globally aware, humble, independent, intelligent, leader, likeable, outgoing, professional, reserved, self-confident, serious.
What is the greatest strength and greatest weakness of the applicant?
*I would feel comfortable having this applicant as a colleague on an international volunteer team.
*If I were an ophthalmologist in a developing country, I would feel comfortable having this applicant participate with my clinic staff and with my patients.
*What is your overall rating of this applicant?
*Please indicate the confidence with which you would or would not recommend the applicant for admission to the Unite For Sight program.
We solicit your candid evaluation of the applicant's ability to
handle an international volunteer opportunity.
Please write at least 4 paragraphs about the applicant that discusses:
  1. How do you know the applicant, and for how long? Do you feel that you know the applicant well enough to submit a candid evaluation?
  2. Is the applicant prepared to participate in an international volunteer experience? Why?
  3. Will the applicant work well with local ophthalmologists, ophthalmic nurses, and optometrists in developing countries?
  4. Discuss specific academic, research, volunteer and/or work experiences that the applicant has accomplished that might predict success in Unite For Sight's international volunteer program;
  5. Describe the interpersonal skills, character, emotional maturity, integrity, and personality of the applicant;
  6. In which areas could the applicant exhibit growth or improvement?
  7. Do you have any reservations or concerns about the applicant?
  8. Examples are very helpful.
*
Declaration:
  • I understand the importance of this evaluation to Unite For Sight and to the eye clinic in a developing country where the applicant would like to participate. I confirm that I have candidly evaluated the applicant and that all of my statements are true to the best of my knowledge. I certify that this letter of recommendation is complete, factually true, and honestly presented.
  • I understand that the applicant has waived rights to this reference.
  • I have reviewed this recommendation form to confirm that all of my ratings of the applicant are accurate, and I have not accidentally ommitted any ratings.
  • I confirm that I am a professional recommender, and not a personal reference. Acceptable professional references include college instructors, academic advisers, former or current employers, work supervisors, volunteer supervisors, etc. Personal references (friends, family, coworkers, fellow students, and student leaders of a student organization) are not acceptable references, will be disregarded, and will result in the automatic rejection of the volunteer application.
  • Upon submission of my letter of recommendation, I will immediately receive an email confirming receipt. The email will also have a copy of my recommendation. If I do not receive an email with a copy of my recommendation, I understand that my recommendation was not transmitted, and I should return to the recommendation form in order to submit it. All of the fields on the recommendation form must be complete in order for the recommendation to transmit.
*Type Name (Signature):
*Type Date:
*Type Professional Email Address (anonymous email addresses such as GMail, Yahoo, Hotmail, and Comcast CANNOT be accepted):
* denotes required field

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