REFEREE REPORT
PRIVATE AND CONFIDENTIAL
SECTION 1 – TO BE COMPLETED BY THE APPLICANT
Name of Applicant
: _____________________________
Address of Applicant:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Name of Referee
: _____________________________
Address of Referee:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
This Referee Report will be used in support of your residency application to St
Catherine’s College, UWA. After you have filled in Section 1, give this report to your
referee and ask for Section 2 to be completed and then posted, faxed or emailed
directly to the College. Our contact details are available at the bottom of this page.
If mailing, it is suggested that you also give your referee a postage paid envelope.
Mark the envelope ‘Referee Report – Private and Confidential’. You should not be
involved in posting the completed report.
Remember that you will need to provide to the
College two separately completed referee reports.
This is report
ONE / TWO
(circle)
HOW TO RETURN THIS REPORT
By Post:
St Catherine’s College
2 Park Road
Crawley WA 6009
Australia
By Fax:
+61 8 9386 3844
By Email:
[email protected]
St Catherine’s College, UWA
Referee Report – PRIVATE AND CONFIDENTIAL
1
SECTION 2 – TO BE COMPLETED BY REFEREE
Your participation in answering the following questions would be appreciated. If there
is insufficient space provided, please use an attachment.
1. How long, how well, and in what capacity have you known the applicant?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Intelligence and academic potential
Ability to work independently
Application to study
Clarity of career objectives
Ability to express ideas: Oral
Written
Maturity
Enthusiasm
Initiative and organising ability
Ability to get on with others
Consideration of others and contribution to a community
Moral qualities
Common sense and judgement
General character
St Catherine’s College, UWA
Referee Report – PRIVATE AND CONFIDENTIAL
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Not able to
comment
Not as good
as most
As good as
most
Better than
most
Much better
than most
Outstanding
2. On the following characteristics, how would you rate the applicant compared
with other students you have known? Place a tick in the appropriate column
where you feel you have sufficient knowledge of the applicant to make a
judgement:
3. Is there any family background information which is known to you and which
may be helpful in regard to selection?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
4. Please comment on any favourable points relating to the applicant.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
5. Please comment on any weaker points relating to the applicant.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
6. Please provide any other information which you consider relevant to this
application.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
7. Imagine that you were considering this applicant for training as a prospective
junior member of your staff. Would you:
Strive to get him/her?
Take a chance with him/her?
Prefer him/her to most?
Not want him/her?
Be happy with him/her?
(Please tick the appropriate box)
8. I have provided additional information on the attached sheet:
Yes
No
(Please tick the appropriate box)
Thank you for providing this information. Please refer to the first page for instructions
on how to return this report. If the applicant is not successful in obtaining a place at
St Catherine’s College, your comments may be passed in absolute confidence to
one of the other residential colleges at UWA, unless you direct otherwise.
Signature
: _____________________________
Date
: _____________________________
St Catherine’s College, UWA
Referee Report – PRIVATE AND CONFIDENTIAL
3