Confidential Reference for* Referees Name* First Last Position* Address* Street Address Address Line 2 Suburb State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Telephone* Mobile How well and in what capacity do you know the applicant?*Family background:*Personal maturity and responsibility:*Favourable qualities and characteristics:*Please comment on any weaker points relating to the applicant:*Suitability for college accommodation and any special reasons for consideration:*Any further comments which might be helpful if the applicant comes into residence:* On the following characteristics, how would you rate the applicant with other students you have known? Place a tick in the appropriate column only where you feel you have sufficient knowledge of the applicant to make a judgement. Please place a tick in one column only for each characteristic/quality.Application to study* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Clarity of career objectives* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Maturity and sense of responsibility* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Enthusiasm and commitment* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Initiative and organising ability* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Ability to get along with others* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Consideration of others* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Contribution to the community* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Moral qualities* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Religious commitment and practice* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Common sense and judgement* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment General character* Outstanding Much better than most Better than most As good as most Not as good as most Unable to Comment Please provide your opinion on the attitude the College should have towards this applicant. Would you:* Strive to get him/her? Be happy with him/her? Prefer him/her to most? Take a chance with him/her? Not want him/her? If you wish to provide further information to the above please attach extra sheets. Drop files here or Select files Max. file size: 8 MB. Thank you for your assistance, this information will be treated as confidential. PhoneThis field is for validation purposes and should be left unchanged. Δ
