Academic LetterofAppraisal

Applicants: Send a link for the letter of appraisal form to your referee by email and include your full name, dateofbirthandMemorialstudentnumber(ifknown). Adobe Reader, minimum version 8, is required to complete this form. Download the latest version at http://get.adobe.com/reader.(1)SavetheformbyclickingonFileSaveAsonthemenubar;(2)Ensure thatyouaresavingthefileinPDFformat;(3)Specifywhereyouwouldliketosavethefile,e.g.Desktop;(4) Completetheentireformandsavethefile;(5)Attachitinanemailtogradapply@mun.ca. Donottypebeyondtheallottedspace.Thisformisconfidentialwhencomplete.

Section1:ApplicantInformation

MUNNo.(ifknown): AcademicUnit:

LastName:

FirstName: DateofBirth: Day:

MiddleName: Month: Year:

Section2:RefereeInformation

LastName: Institution: Street1: City: Postal/ZipCode: InstitutionaleMailaddress:

FirstName:

Title/Rank:

Street2: Prov./State: Country: Telephoneno.:

Section3:RefereeReport

Howlonghaveyouknowntheapplicant? Inwhatcapacity? Whichuniversitycourseshaveyoutaughttheapplicant?

Pleaseranktheapplicantusingthescalebelowandbyusingstudentsfromthelastfiveyearsasacomparisongroup.
Top5% Top10% Top25% Top50% Bottom50% Inabilitytoobserve

Intellectualability Backgroundpreparation Originalityandinitiative Industryandperseverance Interpersonalskills Abilitytoworkindependently AbilitytocommunicateinEnglish(oral) AbilitytocommunicateinEnglish(written) Thisapplicantis (Please select from the dropdown list) foradmissiontograduateschool.

Section4:LetterofReference

PleaseusethespacebelowtocommentontheapplicantsstrengthsandoverallpotentialforcompletingagraduatedegreeatMemorial.

Section5:Declaration,SignatureandSubmissionofForm
I certify that the information contained in this form is complete and correct to the best of my knowledge. I understand that the School of Graduate Studies will verify documents submitted in support of a graduate application and that the submission of falsifieddocumentsisconsideredaseriousoffence. Ihavereadandagreewiththeabovedeclaration. LastName: FirstName: Title/Rank: Date:

Memorial University protects your privacy and maintains the confidentiality of personal information. The information requested in this form is collected under the general authority of the Memorial University Act (RSNL1990CHAPTERM7). It is required for administrative purposes of the School of Graduate Studies. If you have any questions about thecollectionanduseofthisinformation,pleasecontacttheManagerEnrolmentandStrategicInitiatives,SchoolofGraduateStudies,at709.864.2445oratsgs@mun.ca. UpdatedJanuary2012