On: (Full name)
By: (Full name)
Capacity in which you, as referee, have known the applicant, and for how long:
To Referee:
It is understood that you have kindly agreed to act as referee for this applicant. To aid selection and the current placement of successful applicants, it would be very helpful if you could fill in the boxes below with complete honesty: possible limitations should be included as well as virtues. We emphasise that this information is totally confidential and that we do not select on references alone: The applicant is given the chance on his or her selection course to prove his or her own abilities.
Would you please submit the completed form as soon as is convenient. We remain very grateful for your help.
| 1. Family and upbringing: |
How would you describe the applicant's relationship with his/her parents?
Has the applicant's upbringing been sheltered or independent: please elaborate on this.
In your opinion could s/he survive in rough conditions, for example camping in a tent?
Does the applicant use his/her spare time productively? If so, how?
Are these activities organised by the parents or the applicant?
Has the applicant undertaken responsible evening or weekend jobs now or in the past?
Is s/he naturally talented in any one particular direction?
Do you know of any health problems which might affect the applicant's placing overseas?
Are there any further comments you might wish to make to sum up the applicant?
If you feel you do not know the applicant sufficiently well to answer these questions please return the blank form to him or her and suggest it is given to someone else.
Your Address
Daytime phone number
Please note: you may be contacted for further details about the information you have given. Thank you for your assistance.
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