Please save this form and open in Adobe Reader before proceeding 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the applicant’s name in the designated field at the top of the form.
3. Indicate how long you have known the applicant by filling in the appropriate section.
4. Answer whether you consider the RN’s duties to be that of critical care by selecting 'Yes' or 'No'.
5. For each skill listed, mark your evaluation using the provided options: 'Always', 'Usually', 'Needs Improvement', or 'Unable to Evaluate'.
6. In the strengths and weaknesses sections, provide detailed comments about the applicant's capabilities.
7. Print your name, title, and institution in the specified fields.
8. Enter your contact number and electronically sign by typing your name in the signature field.
9. Finally, ensure all information is accurate before saving and submitting directly to Lourdes University Graduate School.

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