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. Is the applicant involved actively in the school community? If so, how?


2. What in your opinion is the greatest challenge the applicant has faced?


3. How did s/he respond to the challenge?


4. Has s/he faced a really stressful situation, and if so how did s/he cope?


5. Do the parent/s back school decisions and what is the relationship like??


6. How would you describe the applicant's home background, to the best of your knowledge?


7. Do you regard the applicant's exam results as indicative of his/her best possible effort or a natural talent for the subject?


8. Are there any points about the applicant, his/her attitude towards your school, his/her health or his/her behaviour there which you feel would help us in deciding on his /her placement overseas?


It is in the applicant's interest for you to provide as much information as you can, avoiding YES /NO answers where ever possible. This enables us to obtain a clear impression of the applicant for use in our selection process.

Please note: you may be contacted for further details about the information you have given. Thank you for your assistance.