Master of Engineering Management Program

Pratt School of Engineering, Duke University

3120 Fitzpatrick Center (CIEMAS)
Box 90300
Durham, NC 27708-0300

MEM Recommendation Form

Applicants Name

_____________________________________________________________________________
Last

First

Middle

To the Applicant: Please indicate your full name above. This form can either be given to you sealed for you
to include with your application package, or mailed directly to the MEM program.
To the Recommender: Please respond to the following questions. Please type or print. After completing
this form, either place it in a sealed the envelope, sign across the seal and return it to the applicant, or it can be
mailed directly to the MEM program at the address above. This recommendation is a required part of the
application so a prompt return to the candidate is important. Many thanks for your contribution to our admission
process.
How long have you known the applicant?
____________________________________________________________________________________________
In what capacity?

____________________________________________________________________________________
____________________________________________________________________________________
Please discuss your perception of the applicants potential in a professional environment following the completion of
the MEM program
_____________________________________________________________________________________________

_____________________________________________________________________________________
Please provide any further comments that you feel would aid the committee in the evaluation of the applicant on the
back of this page or additional pages may be attached.
Exceptional
Top 2%

Superior
Top 5%

Excellent
Top 15%

Above-Average
Top 25%

Average
Top 50%

Below Average
Lower 50%

Leadership potential
Motivation
Intellectual ability
Creativity
Ability to work with others
Oral communication skills
Planning skills/time management
Personal integrity
Self-confidence
For non-native English speakers,
please rate verbal and written
English ability
( ) Recommend with confidence
( ) Recommend with reservation
( ) Recommend
( ) Not recommended
Signature: _______________________________________________________ Date: _______________________
Name: __________________________________________________________ Title: _______________________
Organization or Institution:
_____________________________________________________________________________________________
Address:______________________________________________________________________________________
_____________________________________________________________________________________________
City
State
Zipcode
Telephone Number

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to Rate