University of Essex Doctorate in Clinical Psychology Application Academic Reference Form Date: Applicant’s name Referee’s name Referee’s institution Referee’s job title/position Course/programme studied by applicant Start/end date of enrollment Relationship with applicant at time of study (tutor, course lead etc) Applicant’s academic ability (including performance on the course, ability to apply academic knowledge, ability to interact with peers and academic staff, potential for doctoral level training, ability to work to course deadlines): Please email this form to hhsgrad@essex.ac.uk. We only accept references sent from an official/institution email account (ie not gmail or yahoo etc).