Reference Form

Name of candidate: Click here to enter text.

To the Referee: The above-named candidate has applied to become a University of the West Indies Student Today Alumni Tomorrow (UWISTAT) Vice Chancellor Ambassador. The Institutional Advancement Division asks for your honest evaluation of this candidate, we appreciate your taking the time to assist in this application process. Please return to candidate in a sealed envelope.

Name, title and company of referee: Click here to enter text.

How long have you known the candidate, how well and in what capacity?

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Please rate the applicant in each of the following areas by circling the appropriate answer:

(N=No basis for judgment 1=Unsatisfactory 2=Below average 3=Average 4=Above average 5=Exceptional)

Intellect/Intelligence	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Motivation/Initiative	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Aptitude for problem solving	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Leadership Ability	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Team work/Collaboration	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Maturity/Emotional Stability	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Interpersonal/Social Skills	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Self-esteem/Sense of purpose	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Verbal Communication	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Written Communication	☐N ☐1 ☐2 ☐3 ☐4 ☐5

Describe the candidate’s work attitude. Please provide an example.

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What characteristics do you consider to be the unique strengths and talents of the candidate?

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What characteristics do you consider to be the candidate’s weakness/areas for improvement?

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To what extent do you believe that the candidate is willing and able to be committed to, loyal to and offer continued unwavering support for The UWI, his/her country and the region.

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Does the candidate go above and beyond what is required without being asked?

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Please provide any additional comments that you believe would be helpful in assessing the candidate’s application.

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With regards to the candidate, do you highly recommend, recommend, recommend with reservation, not recommend this candidate?

☐highly recommend	☐recommend	☐recommend with reservation	☐not recommend

______________________	______________________	______________________

Name of referee	Signature of referee	Date