Calgary - Reference - Package
Calgary - Reference - Package
To be completed by applicant and given to referee for their records. ATTENTION REFEREE: KEEP this REFERENCE LETTER CONSENT FORM as evidence of the student's consent for you to disclose personal information.
Please do NOT return this form to the student or send it to the graduate program to which the student is applying.
I,
(name of student)
request that
(name of referee)
(name of referee)
will need to comment on grades and personal characteristics relating to my academic performance and/or employment history. I agree to the disclosure of my personal information to all requests for references.
(Student Signature)
Date
This consent will be effective for one year past the signature date.
Please not that this form does not authorize the university to provide the referee with information about the student recorded 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.
Complete this section including your mailing address and forward this form to an individual who is well acquainted with your education and abilities. References from your relatives, friends or colleagues are not acceptable.
Last Name First Name Middle Name(s)
Proposed Degree
Topic of Study
Please note that some programs at the University of Calgary require that completed references be sent directly to the department/graduate program. Others require the applicant to collect the reference and include it in his/her application package. If questions arise, graduate program/department email addresses and telephone numbers may be found at http://www.grad.ucalgary.ca/programs. Applicant: Following the instructions given by the graduate program/department to which you are applying, indicate below either your complete mailing address or the complete mailing address of the graduate program/department. Referee: Please send the completed reference in a sealed envelope with your signature across the seal to the address below. A completed reference consists of this reference form with the check boxes completed by the referee, and a separate letter of reference (see instructions on page 3.) Mailing Address for References Address: Additional Mailing Instructions if applicable:
This information is collected under the Post Secondary Learning Act. It is required to evaluate the application for admission to a graduate program and for scholarship purposes. Questions about the collection and use of this information may be directed to the Faculty of Graduate Studies, University of Calgary, Calgary, Alberta T2N 1N4, Telephone (403) 220-4938.
teacher
supervisor
advisor
employer
I have known the applicant for years and months. The applicant ranks in the top % of approximately students at the doctoral level I have encountered in years. I have not read the applicants research proposal. undergraduate Masters
Outstanding upper 2% Background preparation Originality Potential research ability Industry/perseverance Judgement/critical sense Intellectual ability Teaching ability Oral communication Written communication Overall evaluation upper 5% upper 10%
Unable to Judge
Please rank the applicant as a candidate for the degree program to which he/she is aplying: Highly Recommended Recommended Not Recommended Unable to Judge
Please rank the applicant as a scholarship candidate: Highly Recommended Name of Referee (Please Print/Type) Position and Department Address Recommended Not Recommended E-mail address (Institutional or Business) Institution (Institutional or Business) Telephone () Fax Number () Unable to Judge
Signature of Referee
Date
Note: All reference letters must be on official letterhead and submitted from an institutional e-mail account or mailed in a sealed envelope along with this completed Reference Form.