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UNIVERSITY OF NEW ENGLAND HIGHER DEGREE RESEARCH REFEREE’S REPORT FORM
Name of the Scholarship for which
the applicant is applying (if
applicable)
PRIVACY STATEMENT
The information provided in this Referee’s Report is being collected to assess the applicant for a University of New England
scholarship and/or candidature. This information will be supplied to the relevant UNE Committees. However, you may
choose whether or not to release the report to the applicant on request . Please indicate your preference below.
.
Yes
.
No
APPLICANT DETAILS
1
2
3
Name
Title
Family Name
Given Name
Second Name
Student Number (if
currently enrolled at
UNE)
Course, School and
Faculty in which the
applicant is currently
enrolled
Course:
School/Faculty:
University:
REFEREE’S DETAILS
4
Name
Title
Family Name
Given Name
Second Name
Postcode
Country
Position and Institution
5
Contact Details
Postal Address:
Email Address:
Telephone:
Updated 3rd May 2013
REFEREE’S ASSESSMENT OF APPLICANT
6
Please indicate your assessment of the applicant against each dimension by circling the appropriate number on the
scale.
Weakly focused
0
1
2
3
4
5
6
7
8
9
10
Highly focused
0
1
2
3
4
5
6
7
8
9
10
Works
independently
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
7
8
9
10
Low level of creativity and
originality
0
1
2
3
4
5
6
7
8
9
10
Highly creative
and original
Writes poorly
0
1
2
3
4
5
6
7
8
9
10
Writes clearly
Unable to meet deadlines
0
1
2
3
4
5
6
7
8
9
10
Regularly meets
set deadlines
Requires considerable
guidance
Weak conceptual ability
Poorly developed powers
of logic and analysis
0
1
2
3
4
5
6
7
8
9
10
8
Please comment on publications, relevance of research or work experience.
9
Free comment – please use extra page if necessary.
10
Well developed
powers of logic
and analysis
Communicates
well
If you wish to clarify any of the above rankings or add any comments which you think will assist in assessing the
applicant, please do so. If extra space is needed, attach an additional page.
Communicates poorly
7
Strong ability to
think conceptually
Signature:
Date:
Name (please
print)
The referee is requested to forward this report directly to: Research Services University of New England Armidale NSW 2351
Australia Fax: +61 2 6773 3543 Email: [email protected]
Updated 3rd May 2013
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