Sodexo,
Health Care Services Division
Distance Education Dietetic Internship
Recommendation Form
To the applicant: Please complete the
following:
Name: __________________________Date of
Graduation:________________
The applicant should sign and date one of the
following statements:
1) I wish to have access to this letter and I
understand that under the Family Education Rights to Privacy Act of 1974, 20
U.S.C.A. Par. 1323 g (a) (1) and P.L. 397 of 1978, I have the right to read
this recommendation
Applicant’s
Signature_____________________________________ Date:___________
2) I wish this letter to be confidential and I
hereby waive any and all access rights granted me by the above laws to this
recommendations.
Applicant’s
Signature_____________________________________ Date: ____________
Please rate the applicant on the qualities
as defined below. Place an X on
the scale which reflects the applicant’s performance.
10-I feel this is one of the applicant's greatest strengths
8 - I have
observed this quality in all situations
6 - I have
observed this quality most of the time
4 - I have
observed this quality some of the time
2 - I have
observed this quality only rarely
0 - In my
experience, the applicant does not possess this quality
NA-I have
not had an opportunity to observe this quality and cannot rate the applicant
1. Knowledge of Medical Nutrition Therapy
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Calculates and/or
defines diets for common conditions
Screens individuals for nutritional risk
Collects pertinent information for nutrition assessment
Determines nutrient requirements across the lifespan
Measures, calculates and interprets body composition data
2. Knowledge of Foodservice Management
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Determines costs of
services/operation
Prepares a budget
Interprets financial data
Applies marketing principles
3. Critical Thinking skills
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Able to synthesize
information and ideas
Able to discern cause and effect
Able to analyze information and events objectively
Able to develop effective solutions to complex problems
4. Oral Communication skills
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Presents ideas in a
clear and concise manner
Presents information that is appropriate for listener(s)
Listens/observes with respect for others
Communicates with honesty and sincerity
Uses appropriate tone and language
5. Written communication skills
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Writes clearly and
concisely
Writing is appropriate for intended reader
Organizes writing in clear, logical manner
Uses good grammar and spelling
6. Interpersonal relationships
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Works well with
various personalities
Successfully negotiates solutions to problems with
others
Well liked by peers and supervisor
Able to appreciate talents of others
Acknowledges the worth of others
7. Leadership
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Positively
challenges self and others
Steps forward to take responsibility
Articulates a vision to others
Sets high standards
Able to incorporate disparate ideas
Promotes individual responsibility in group projects
8. Team work NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Takes active part
in forming and supporting group decisions
Values diversity among group members
Expresses ideas, feelings, opinions with diplomacy
Treats others with respect, honesty, integrity, and
courtesy
Works to resolve conflicts by finding common ground
9 Flexibility
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Adaptable to
changing situations
Uses a variety of learning strategies
Is able to adjust plans/strategies as situation warrants
Open to new ideas and ways of doing things
Can handle many things at once
10. Self-Direction
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Takes initiative
Able to work independently
Initiates challenges for self
Assesses own needs and sets goals
Evaluates achievement of goals
Takes responsibility for own learning
Demonstrates maturity in a variety of situations
11 Motivation
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Goes beyond what is required
Seeks additional learning opportunities
Sets goals for self
Seeks to do things better, more efficiently and/or more effectively
12 Creativity
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Is able to think
"outside the box"
Unique or fresh approaches to problems
Expands existing ideas in unique ways
Takes risks
Integrates seemingly unrelated ideas
Innovative solutions to problems
13 Time management and planning
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Is able to
categorize and prioritize competing responsibilities
Optimizes time and resources
Able to manage many tasks at once without being overwhelmed
14 Character
NA........0.......1.......2.......3.......4.......5.......6.......7.......8.......9.......10
Evidenced by:
Has well defined
principles and values
Respects others and self
Is fair and honest in dealings with others
Has a strong work ethic
Takes responsibility for own actions
Follows through on commitments
Recommendation Form. Use this space or attach a separate sheet to amplify
or add to characteristics rated on the first page. Please indicate applicant’s
strengths and those qualities needing further development.
***PLEASE
NOTE***
The Sodexo Distance Education Dietetic
Internship is a program with a great deal of student involvement in planning
and executing individual experiences. It is the feeling of the selection
committee that students who are self-directed will more easily succeed in this
program. Therefore, in your comments below about this applicant, please include
any knowledge you have regarding this student’s demonstration of
self-direction. Specific examples would be helpful. Please cite any instances
in which the student took initiative, played a leadership role, was flexible,
and/or creative. Please address how you feel this applicant would do in a
self-directed program such as Sodexo’s
1) Relationship to Applicant: ____ Advisor
_____ Teacher ______Work supervisor
_______Other: Please indicate
relationship__________________________________
2) How long have you known applicant?_________________________________________________________________________
3) How well do you know applicant? ___________________________________________________
4) Do you: ____Highly Recommend ____Recommend
_____Recommend with reservations ______Not recommend
Name (Please print or type)____________________________________________________________
Signature___________________________________________________
Date ___________________
Position___________________________________________________________________________
Place of employment__________________________________________________________________
Address
___________________________________________________________________________
Phone ____________________________________________________