Academic Referee's Report

Applicant's Name:

Note that the report is confidential and is not shown to the applicant. It issued only for selection purposes. It must arrive by 7 November

1. In your professional relationship, what opinion did you form of the applicant's ability as a student?

Poor / Fair / Moderate / Good / Very Good / Outstanding

Please comment.

2. How do you regard the applicant's suitability for the course he/she has applied for?

Poor / Fair / Moderate / Good / Very Good / Outstanding

and comment please:

3. What are the applicant's strengths and weaknesses in relation to education?

4. How long have you known the applicant, when did you last teach them, what subjects etc and how often?

5. Any other comments on this applicant for our means and merit based bursary and scholarship schemes?

Referee's Name:

Position:

School/Department/Faculty:

Educational Establishment and Campus:

Business address:

Postcode:

Telephone:

Mobile:

Email:

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