Canadian Queen Elizabeth II Diamond Jubilee Scholarships Partner institution report Directions To be completed for each scholar. Please complete the report and return to the Canadian university via email no later than one week prior to the end of the scholar’s award. Section 1: Canadian University: Scholar’s name: First name Dates of scholarship: Last name DD/MM/YYYY DD/MM/YYYY Arrival in partner country Departure from partner country Section 2: Main results of the scholarship What were the key results of this scholar’s time at your institution? What was the most successful aspect of this scholar’s presence at your institution? How did your institution benefit from his/her presence? From your perspective, how did the scholar benefit from the scholarship? 1 What do you foresee as the medium-term impact of his/her presence on your institution’s work? Please rate each of the following statements. The scholar was well prepared for his/her time with you. Comments: The scholar was able to make a positive contribution to the needs of our institution. Comments: The research done by the scholar has reinforced our link with the Canadian university. (If applicable) Comments: I expect that the work conducted by the scholar will be continued by others once she/he leaves. If not, please explain: Overall, my institution is satisfied with the results of this scholar’s performance. 2 If not, please explain: Recommendations The QES program tries to ensure that scholars are able to contribute to and to learn from their partner institution. Do you have any suggestions for how future scholars can be better prepared for working with your institution? Will you be hosting another QEScholar? If so, when? Are there any other comments you would like to share with us? First name : Last name : Title : Name of institution : If you selected ‘other’, please specify: Email address: Date: DD/MM/YYYY 3