referee report template

NBCF Postdoctoral Fellowship Referees Reports 2017
Referees in Confidences
REFEREE REPORTS
The following three referee reports are required to be submitted as part of your application:

Referee 1 - Intended supervisor, who is to comment specifically on the applicant’s
professional research skills and future research potential.

Referee 2 - Referee with personal knowledge of the applicant, who is able to comment
specifically on the applicant’s professional research skills and future research potential.

Referee 3 - Independent referee with knowledge in the proposed field of research, who has
no substantive professional or private contact with the applicant or any active collaboration
with the applicant’s proposed supervisors, but should be knowledgeable in the field of
study. The referee should not be from the applicant’s current institution.
Please ensure that you identify referees that meet the above criteria and instruct the referees to
complete the correct referee report. Please ensure they are also advised of the report submission
process as detailed below. It is the applicant’s responsibility to ensure that completed
referee reports are submitted to the NBCF before the closing date. Applications that do not
have completed referee reports submitted by the closing date will be deemed noncompliant and will not proceed to peer review.
SUBMISSION INSTRUCTIONS FOR REFEREES:
Please insert electronic signature or sign a hard copy of this page and then covert to PDF. Then
email this PDF version to [email protected] making reference to the application the report is
referring to.
Please ensure the correct referee report is completed. Referees will only complete the section
specific to them e.g. a referee advised by the applicant that they are “Referee 1” is to only
complete the section titled “Referee Report 1: Intended Supervisor”.
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NBCF Postdoctoral Fellowship Referees Reports 2017
Postdoctoral Fellowship – Referees in confidence
Referee Report 1: Intended supervisor for Postdoctoral Fellow (completed by Referee
1 only)
Instructions to Referee 1:
You are requested to comment on the applicant’s professional research skills and future research
potential and how your supervision and institution will enhance breast cancer research and the
career development of the applicant.
Your comments can extend onto additional pages.
[email protected] by 5pm AEST 5th August 2016.
Name of Applicant
Title of Project
NBCF Application Reference No.
Name of Referee (including Title)
Referee Job Title
Referee’s
Organisation/Institution
Postal Address
Post code
Contact telephone
Email address
Please
email
your
report
to
(PLEASE LEAVE BLANK: INTERNAL USE ONLY)
Please comment specifically on how your supervision and the institution where the project will be
performed will enhance breast cancer research and the career development of the applicant.
Referee 1 Name:
Referee 1 Signature:
Date:
Please note: Electronic signatures are accepted.
Page 2 of 4
NBCF Postdoctoral Fellowship Referees Reports 2017
Postdoctoral Fellowship – Referees in confidence
Referee Report 2: Referee with personal knowledge of the applicant (to be completed by
Referee 2 only)
Instructions to Referee 2:
Please comment specifically on the applicant’s professional research skills and future research
potential. Please justify your comments with regard to the applicant’s current research output.
Comment also on the potential benefit of the proposed project to breast cancer and the future
career development of the applicant.
Please address all headings outlined below. Your comments can extend onto additional pages.
Please email your report to [email protected] by 5pm AEST 5th August 2016.
Name of Applicant
Title of Project
NBCF Application Reference No.
Name of Referee (including Title)
Referee Job Title
Referee’s
Organisation/Institution
Postal Address
Post code
Contact telephone
Email address
(PLEASE LEAVE BLANK: INTERNAL USE ONLY)
1. Feasibility, originality and quality of the proposed project.
2. Proposed institution’s ability to assist and support the applicant.
3. Applicant’s potential to successfully undertake and direct the proposed project.
4. Applicant’s promise to develop as a research leader, with focus on his/her potential to
perform high-quality research, to cultivate a successful research team and to build
collaborative partnerships.
Referee 2 Name:
Referee 2 Signature:
Date:
Please note: Electronic signatures are accepted.
Page 3 of 4
NBCF Postdoctoral Fellowship Referees Reports 2017
Postdoctoral Fellowship – Referees in confidence
Referee Report 3: Independent referee with knowledge in the proposed field of research
(completed by Referee 3 only)
Instructions to Referee 3:
Please complete this referee report if you:
 Have had no substantive professional or private contact with the applicant;
 Have no active collaboration with the applicant’s proposed supervisors;
 Are not at the applicant’s current institution; and
 Are knowledgeable in the proposed field of study.
Please address all headings outlined below. Your comments can extend onto additional pages.
Please email your report to [email protected] by 5pm AEST 5th August 2016.
Name of Applicant
Title of Project
NBCF Application Reference No.
Name of Referee (including Title)
Referee Job Title
Referee’s
Organisation/Institution
Postal Address
Post code
Contact telephone
Email address
(PLEASE LEAVE BLANK: INTERNAL USE ONLY)
Feasibility, originality and quality of the proposed project.
Potential of the project and the environment of the host institution to enhance breast
cancer research and the career development of the applicant
Referee 3 Name:
Referee 3 Signature:
Date:
Please note: Electronic signatures are accepted.
Page 4 of 4