Natural Sciences and Engineering Research Council of Canada (NSERC)
Undergraduate Student Research Award (USRA)
Letter of Reference Form
Applicant: Please complete the shaded area before sending form to your referee.
Family Name
BU Student No.
Given Names and Initial(s)
Degree Program/Major
Date
Research Field
E-Mail Address
Reference No.
Telephone No.
Personal ID No. (PIN)
Cell No.
Referee Instructions: Please provide information on the applicant's research aptitude and ability to carry out a successful project in the
applicant's research field and the basis for your statements. Please return the completed form to the USRA Liaison Officer in the Office of
Research Services, Room 113 Clark Hall, Brandon University, Brandon, MB, R7A 6A9.
1. General Appraisal: Type in shaded area below:
2. Knowledge of Applicant: In what capacity and for how long have you known the applicant? (eg. teacher, supervisor, employer)
I was the applicant’s
In my opinion, of the
this student in the upper
for
years and/or
months between the years
and
(number) students in this category I have supervised/dealt with within the last five years. I would rank
percent.
3. Writing Ability: Please comment on any knowledge you have of the applicant’s ability to write a scholarly report or thesis.
Type in shaded area below:
4. Specific Abilities: For each category, please check the most appropriate box.
Inadequate
opportunity to
observe
Marginal
(lower 50%)
Average
(top 50%)
Good
(top 25%)
Superior
(top 15%)
Outstanding
(top 5%)
Research Aptitude
☐
☐
☐
☐
☐
☐
Scholarly Promise
☐
☐
☐
☐
☐
☐
Research Ability
☐
☐
☐
☐
☐
☐
Writing Skills
☐
☐
☐
☐
☐
☐
Industriousness
☐
☐
☐
☐
☐
☐
Judgment
☐
☐
☐
☐
☐
☐
Overall Rating
☐
☐
☐
☐
☐
☐
5. Referee Information and Signature:
Name
Academic Rank/Position
Institution
Department Address and Postal Code
Telephone No.
Date
E-Mail Address
Signature of Referee
This personal information is being collected under the authority of the Brandon University Act and will be used for determining the
applicant’s suitability for an NSERC Undergraduate Student Research Award. It is protected by the Protection and Privacy provisions of
the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection, contact the Office of the
Vice President (Administration & Finance) second floor, Clark Hall, Brandon University, Brandon, MB, R7A 6A9, (204) 727-9723.