UNIVERSITY OF GLASGOW
SCHOOL OF VETERINARY MEDICINE
PRIVATE AND CONFIDENTIAL REPORT FORM
It would be of value to us in our admissions procedure if you would be kind enough to spare a few minutes to
give us an assessment of the under noted applicant who has applied to study Veterinary Medicine at the
University of Glasgow
Applicant’s Name:
Date of Interview:
Time of Interview:
THIS FORM MUST NOT BE RETURNED TO THE APPLICANT. ALL INFORMATION GIVEN WILL BE
TREATED IN THE STRICTEST CONFIDENCE AND WILL BE TAKEN INTO CONSIDERATION IN OUR
SELECTION PROCEDURE. Please return the completed form to :
The Admissions Office
Undergraduate School
School of Veterinary Medicine
464 Bearsden Road
Glasgow G61 1QH
Range of Practice Seen (eg small, mixed, equine) _________________________________________
Dates when applicant attended your practice _____________________________________________
For each statement please show the extent of your agreement or
disagreement by circling the number in the right hand column that best
reflects your current view of the applicant.
1 = Strongly disagree
2 = Disagree
3 = Agree
4 = Strongly Agree
N – Have not observed
1
Helpful & Co-operative in Practice environment
1
2
3
4
N
2
Time keeping
1
2
3
4
N
3
Ability to work with others
1
2
3
4
N
4
Ability to handle animals and to show empathy:
Acceptable ability/empathy with small animals
1
2
3
4
N
Acceptable ability/empathy with large animals
1
2
3
4
N
5
Acceptance of feedback and instruction
1
2
3
4
N
6
Initiative
1
2
3
4
N
7
Communication Skills
1
2
3
4
N
8
Personal and Social Maturity
1
2
3
4
N
9
Awareness of the Profession and motivated to become a vet
1
2
3
4
N
10
Overall Potential
1
2
3
4
N
Additional Comments (if any)
Signed __________________________________________________________
Print Name: _______________________________________________________
Name & Address of Veterinary Practice
Please return completed form to:
University of Glasgow
Undergraduate Admissions Office
Undergraduate School
McCall Building
464 Bearsden Road
Glasgow G61 1QH
Or by e-mail to vet-sch-admissions@glasgow.ac.uk
Thank you – your comments are very much appreciated