Foundation for Educational Exchange Between Canada and the United States of America THE CANADA-U.S.

FULBRIGHT PROGRAM

Fondation pour les changes ducatifs entre le Canada et les tats-Unis dAmrique LE PROGRAMME FULBRIGHT CANADA-.U.

COVER SHEET FOR CONFIDENTIAL LETTER OF REFERENCE In Support of Graduate Study and/or Research in the United States
Instructions Please submit the completed cover sheet along with your confidential letter of reference directly to the Canada-U.S. Fulbright Program in Ottawa. All materials must be postmarked on or before November 15, 2009. Please note that your letter of reference should be written in English. 1. Name of Applicant

Mr. Valentine Gurfinkel

Name of Referee Title & Institution

2. Letter of Reference The Canada-U.S. Fulbright Program Adjudication Committee will have available for review a copy of the applicants academic transcripts, curriculum vitae, personal statement and a detailed statement of proposed study or research the applicant proposes to undertake in the United States. Detailed information which can enrich the Committees understanding of these records will be especially welcomed. Please provide a detailed assessment of the applicants academic qualifications and potential. Where possible, please comment specifically on the feasibility of the applicants project in terms of the ability of the applicant to carry out the project, the proposed timeline and methodology, along with the suitability of the intended host institution. Please also keep in mind that the applicant will be serving as a citizen representing Canada and that personal suitability, as well as academic excellence, is an important criterion to be considered. 3. Please assess the applicant according to the following criteria in areas that you are able to evaluate. (Please reserve the ranking Outstanding for those few students who have distinguished themselves by their unique contribution or exceptional performance.) Outstanding Intellectual Ability Work Habits Seriousness of Purpose Potential for Significant Future Contribution in Field Resourcefulness and Initiative Emotional Maturity Adaptability to New Situations Leadership Qualities Teaching Potential 4. Comparison Group Number of Students Over Years. Excellent Very Good Average Below Average

5. How long have you known the applicant? 6. In what capacity have you known the applicant? 7. Referees Signature 8. Referees Mailing Address Phone Email City Province Postal Code FAX Professor Research Advisor Date Employer/Job Supervisor Other

PLEASE RETURN THIS FORM ALONG WITH A LETTER OF REFERENCE DIRECTLY TO: THE CANADA-U.S. FULBRIGHT PROGRAM 350 ALBERT STREET, SUITE 2015 OTTAWA, ONTARIO K1R 1A4 Please note that all materials must be postmarked on or before November 15, 2009.
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