REFERENCE LETTER REQUEST Required ONLY for referees from Alberta ATTENTION REFEREE: KEEP this REFERENCE LETTER REQUEST FORM as confirmation of the request for a reference. Do NOT return this form to the student or send it to the graduate program to which the student is applying. Mail the attached REFERENCE according to the instructions on the first page of the Reference form. I, request that (name of student) write a reference (name of referee) or respond to a reference check on my behalf. I understand that in order to write the reference or provide a verbal reference, will need to comment on grades and personal characteristics (name of referee) relating to my academic performance and/or employment history. I agree to the disclosure of my personal information: Only to the following institutions or potential employers: 1. Please note that this form does not authorize a university or any other institution to provide the referee with information about the student record beyond that which is part of the public record. The applicant must provide the referee with a program summary or transcript if comments regarding overall performance, e.g., ranking or grade point average, are to be included in the reference. 2. 3. 4. 5. 6. To all requests for references This information is collected under the authority of and in response to the Freedom of Information and Protection of Privacy (FOIP) Act. It is required to respond to the request. If you have any questions about the collection or use of this information, contact the Faculty of Graduate Studies FOIP Advisor, telephone (403) 220-5417. This consent will be effective for one year past the signature date. Date Student Signature If this form is not signed and attached to the Reference form, a referee from Alberta will not provide a reference. 1 June 2007 The Haskayne MBA Haskayne School of Business 2500 University Drive NW Calgary, AB T2N 1N4 Canada APPRAISAL Name of Applicant: Address: To the Appraiser: The person whose name appears above is applying to The Haskayne MBA Program at the University of Calgary. We are interested in your assessment of this person. Please complete the section below and the other appropriate sections on this form. Your own letterhead may be used if you need additional space. This information is collected under the Freedom of Information and Protection of Privacy Act (FOIP). It is required to evaluate the applicant for admission to The Haskayne MBA program and for scholarship purposes. If a formal access request is filed, this appraisal, or portions of this appraisal, can become available to the applicant. Questions about the collection and use of this information may be directed to the FOIP Advisor, Haskayne School of Business, University of Calgary, telephone (403) 220-3808. Please return this form and any attachments directly to The Haskayne MBA Program in a sealed envelope with your original signature across the seal of the envelope. We are not able to accept faxed copies or e-mailed attachments as official appraisals. Thank you for your time and assistance. The following section must be completed by the Appraiser: Name of Appraiser: Position: Organization: Address: Telephone: E-mail address: Signature: Date: Appraisal for MBA Program, Haskayne School of Business 1 June 2007 Page Two of Four Name of Applicant: This section to be completed by all Appraisers: 1. How long have you know the applicant? 2. In what capacity have you known the applicant? 3. Please evaluate the applicant in comparison to others in an appropriate peer group. Characteristics of Rating Outstanding years. Very Good Good Average Unable to Judge Intellectual Ability Organizational Skills Interpersonal Skills Written Communication Skills Oral Communication Skills Analytical Thinking Skills Time Management Skills Leadership Potential Creativity Initiative Judgement Skill at Research Background Preparation Industry Ability to Synthesize Ideas Ability to Discuss Critically Ability to Express Ideas Clearly 4. What is your recommendation regarding the applicant’s admission to The Haskayne MBA program? Highly recommended Recommended Not recommended Appraisal for MBA Program, Haskayne School of Business 1 June 2007 Page Three of Four Name of Applicant: This section to be completed by Professional Appraisers only: 1. What are the applicant’s primary professional strengths and weaknesses? 2. Does he/she work effectively in groups, perform well under stress and accept constructive criticism? 3. Please comment on the applicant’s managerial skills and his/her potential to become an excellent manager. Appraisal for MBA Program, Haskayne School of Business 1 June 2007 Page Four of Four Name of Applicant: This section to be completed by Academic Appraisers only: Please note that applicants who have been out of university for two years or longer are not required to get academic appraisals. 1. Please comment on the applicant’s academic ability, i.e., general knowledge, background preparation, etc. 2. Please evaluate the applicant’s potential for originality and skill at research. 3. Does the applicant’s academic transcript reflect his/her ability? 4. Please comment on the applicant’s ability to work independently and complete projects in a timely manner. Appraisal for MBA Program, Haskayne School of Business 1 June 2007