Applicant First name: Family name: Note to applicant: Please write your name on all pages of this form, and then give the form to the person who will write your recommendation. Ask your recommender to return the completed recommendation form to CKGSB Dual EMBA Team. Note to recommender: The purpose of the CKGSB-IMD Dual Executive Master of Business Administration program is to provide - high-potential, internationally minded executives with at least 10 years’ experience - with an opportunity to master Eastern and Western business concepts and practices and to succeed in diverse and very different cultural settings. It would be very helpful to the CKGSB-IMD Dual Executive MBA Admissions Committee if you could give a candid appraisal of the applicant. The information you provide is strictly confidential. Please note that, according to Chinese law, there is no obligation to, nor shall we, release information contained in this recommendation to the applicant. We greatly appreciate the time and effort involved on your part in completing this form. Thank you. 1. How long have you known the applicant and in what capacity? 2. What do you consider to be the applicant’s talents or strengths? 3. What do you consider to be the applicant’s weaknesses or opportunities for improvement? 1/3 Applicant First name: Family name: 4. Please give us your appraisal of the applicant in terms of the qualities listed below. Rate the applicant in comparison with other persons of his/her age and experience level whom you consider to have a clear potential for leadership in management. Below average Average Above average Exceptional Not observed Business orientation Analytical skills Competence in his/her field Intellectual curiosity Vision/broad business perspective Proven leadership Taking initiative Self-confidence Maturity Perseverance Energy Creativity Teamwork Interpersonal skills Communication skills English language skills 5. Please comment on the ratings you have assigned above and make any additional statement about the applicant’s record, or about potential or personal qualities that you believe would be helpful to the Admissions Committee. If possible, please describe any situations or incidents that would depict the applicant’s future potential. 2/3 Applicant First name: Family name: Recommender’s signature: Date: Recommender’s full name (please print): Job title: Company name: Company address: Postal code: City: Direct telephone: Country: Central telephone: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS Direct fax: Central fax: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS Mobile telephone: Website: INDICATE INTERNATIONAL AND AREA CODES IN BRACKETS E-mail: Your recommendation is a critical part of the candidate’s application. Thank you again for your time and insights. Please return your completed form as soon as possible to: Dual EMBA Team Cheung Kong Graduate School of Business Tel: +86 21 62696212 dualemba@ckgsb.eud.cn Fax: +86 21 62696204 3/3