ANU CRICOS # 00120 C ANU COLLEGE OF BUSINESS AND ECONOMICS REFEREE REPORT ON POSTGRADUATE MANAGEMENT PROGRAM APPLICANT NOTE TO APPLICANT Please enter your name and address below and deliver or mail this Report form to your referees. You are required to obtain reports from two referees at least one of whom should be an employer. Please ask the referees to seal the report in an envelope and return the report to you or the Admissions Manager, ANU College of Business and Economics. APPLICANT TO COMPLETE Family Name: ____________________________Other Names:________________________________ Program Applying for: _________________________Intake (i.e. February/July, 2008): _____________ Address: ____________________________________________________________________________ ___________________________________________________ Post Code: _______________________ Telephone ( )__________________________ Email: _____________________________________ NOTE TO REFEREE This report is a confidential personal recommendation on a candidate for admission to a post-graduate program in the ANU College of Business and Economics. The Australian National University offers innovative programs of post-graduate studies designed for future business leaders. Students are required to have a university degree and at least three years of paid employment before they can be considered for admission. Please note that in some circumstances excellent career attainments may be accepted instead of a formal tertiary qualification. Entry to postgraduate management programs in the ANU College of Business and Economics is competitive and your frank assessment of the applicant’s suitability for admission will be very much appreciated. The report is requested from you and, if supplied, received by the University on a confidential basis and on the clear understanding that the University will do everything in its power to respect and maintain that confidence. The report will be disclosed only to those immediately involved in the selection process. Would you please seal the report inside an envelope, with your signature written across the seal and return to the applicant or to: The Admissions Manager ANU College of Business and Economics Sir Roland Wilson Building (#120) ANU ACT 0200 AUSTRALIA Or fax the referee’s report to +61 2 6125 4895. We request that this report not be shown to the applicant. Page 1 of 4 ANU CRICOS # 00120 C REFEREE TO COMPLETE 1. How long, how well, and in what connection, have you known the applicant? 2. Please describe the group of people on which you base your comparison. 3. What, if any, do you consider to be the applicant’s outstanding talents or strengths? 4. What, if any, do you consider to be his/hers major weaknesses? Page 2 of 4 ANU CRICOS # 00120 C 5. In what ways might he/she benefit from post-graduate study in Management at the ANU College of Business and Economics? 6. Are you aware of any circumstances that might affect his/her performance in the program? 7. How would you rate the applicant on the following qualities? Exceptional Top 5% Very Good Next 10% Good Next 20% Average Middle Third Poor Bottom Third Do Not Know Intellectual Capacity Maturity Social Skills Leadership Creativity Problem Solving Self confidence Ability to work hard Motivated to succeed Perseverance Overall Management Potential Page 3 of 4 ANU CRICOS # 00120 C 8. Please make any other comments that you feel would be useful to the University in considering this application. NAME OF PERSON COMPLETING REPORT (Please print or type) Position or title Organisation Phone No. (Business) Address Street and Number City or Suburb State Country Signature Date (Please attach additional sheets if required) Page 4 of 4