APPLICATION FOR ADMISSION TO DOCTORAL STUDY
Academic Referee- Confidential Report
IMPORTANT
This form must be used for all Victoria University of Wellington applications for PhD or professional
Doctoral study.
It can be completed as a soft (electronic) copy – save to your computer and email to pgresearch@vuw.ac.nz. Please note that we require the report to be emailed from a verifiable
institutional email address.
The report is to be completed by a referee who is able to evaluate the academic ability and the research
potential of the applicant in respect of Doctoral study at Victoria University of Wellington. Applicants must
ask two referees to supply confidential reports.
This report is confidential to the Victoria University of Wellington panel(s) assessing this application.
The University undertakes that it will not, without your express consent, make your statement available to
the applicant.
APPLICANT’S DETAILS
First Name
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Application Round
Last Name
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Choose an item.
REFEREE’S DETAILS
First Name
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Last Name
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Telephone
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Mobile
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Email
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Institution
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Date
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Department Click here to enter text.
Signature
Do you consent to make this document available to the applicant if the applicant requests it?
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Application for admission to doctoral study: Academic Referee – Confidential Report Nov. 2015
REFEREE’S ACADEMIC BACKGROUND AND EXPERIENCE
What is your highest degree? In what year and from where did you obtain it?
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What is your academic position or current role?
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In a few lines, please describe your area of expertise
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How many PhD’s/Research Masters or equivalent have you been primary supervisor for?
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How many of those students have completed (graduated)?
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REFEREE’S REPORT
How long and in what capacity have you known the applicant?
(If required, please continue your answer in the additional comments box on page 3)
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How confident are you that the application has the skills, application and ability to carry out
successful graduate research?
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Are you aware of any barriers that might limit the applicant’s ability to succeed at doctoral level
study? If so, please explain.
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Application for admission to doctoral study: Academic Referee – Confidential Report Nov. 2015
REFEREE’S REPORT (CONTINUED)
In relation to other students you have worked with, how would you rate the applicant’s overall
ability?
In the top Click here to enter text.% of students I have known.
PLEASE RATE THE FOLLOWING ATTRIBUTES OF THIS APPLICATION IN RELATION TO
OTHER STUDENTS YOU HAVE WORKED WITH
Use a five-point scale where “5” indicates OUTSTANDING and “1” indicates UNACCEPTABLE.
Choose an item. Knowledge of the discipline
Choose an item. Ability to communicate in clear, cogent written English
Choose an item. Ability to communicate orally, in clear, cogent written English
Choose an item. Organisational skill – ability to plan realistically, organise and complete work
Choose an item. Openness to exploring new ideas or approaches
Choose an item. Ability to analyse/categorise/synthesise information and ideas
Choose an item. Ability to analyse logically and evaluate critically
Choose an item. Ability to work independently
Choose an item. Ability to take direction
Choose an item. Ability to work in a team
Choose an item. Enthusiasm/passion for the discipline
Choose an item. Creativity
Choose an item. Originality
ADDITIONAL COMMENTS: PLEASE ADD ANY OTHER COMMENTS AND EXPAND FURTHER ON
YOUR RATING NOTED ABOVE
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PLEASE RETURN TO:
Faculty of Graduate Research
Victoria University of Wellington
PO Box 600
Wellington 6140
Application for admission to doctoral study: Academic Referee – Confidential Report Nov. 2015
New Zealand
Email: pg-research@vuw.ac.nz
Phone +64 4 463 5113
Application for admission to doctoral study: Academic Referee – Confidential Report Nov. 2015