Let Ref Admission
Let Ref Admission
To Applicant: complete shaded area before sending this form to your referee.
Last Name First and Middle Name(s)
Department applying to
Area of specialization
To the Referee: We are particularly interested in the applicant's ability to carry on advanced study and research, teaching ability, potential for successful study in the applicant's field, and weaknesses, if any. We would appreciate knowing the basis for your statements. Please return to the department address above.
1. General Appraisal
(use reverse side if necessary) 2. Knowledge of Applicant: In what capacity and for how long have you known the applicant? (eg, as teacher, supervisor, employer.) I was the applicant's In my opinion, of the percent. 3. Ability in the English Language: Please comment on the applicant's ability to comprehend spoken English, to teach in English, and to pursue a research problem and write a scholarly report or thesis in English. ___ for ________ years and/or _ months between the years and .
(number) students in this category I have supervised/dealt with in the last five years, I would rank this student in the upper
(use reverse side if necessary) 4. Specific Abilities: For each category, check the most appropriate box. Outstanding Superior Good (top 5%) (top 15%) (top 25%) Academic Achievement Scholarly Promise Research Ability Teaching Potential/Promise Verbal Skills Writing Skills Industriousness Judgment Overall Rating 5. Referee
Name Institution Telephone Number Academic Rank/Position Department Address and Postal Code Date Signature of Referee E-mail Address