Summer 2015 Study of the U.S.

Institutes for European Student Leaders

A program of the Bureau of Educational and Cultural Affairs,
U.S. Department of State
REFERENCE FORM

(TO BE COMPLETED BY APPLICANT):

Name of Applicant ___Drago Gabriel Blnici
Country ROMANIA
Name of Evaluator/Reference

Silvian-Emanuel MAN

Title of Evaluator ____president____

Work Institution __ Liga Studenilor din Universitatea Alexandru Ioan Cuza din Iai /
Alexandru Ioan Cuza University Students Union
Work Address of Evaluator _ Amurgului nr. 2, bl. SA-1, et. 6, ap. 21, Iai, Romania
Work Telephone of Evaluator 0788.388.488 Fax ___ E-mail silvian.man@gmail.com
This reference form may be completed by a supervisor at work, a professor/academic advisor/dean, or a
community leader who knows the applicant well and is familiar with the applicants academic and/or
professional work. Relatives and friends of the applicant may not complete this recommendation form.
This form should be typewritten in English, if possible. All recommendations must be signed at the bottom, but
DO NOT require a stamp. Please return the completed reference form to the applicant in a sealed envelope
to be submitted with the completed application. Please DO NOT send reference forms directly to the Fulbright
Commission. The two reference forms must be completed by two different individuals.
(TO BE COMPLETED BY EVALUATOR):
1

How long have you known the applicant?

I know the applicant for six moths, time in which he had his skills thoroughly tested.

In what capacity have you known the applicant? Check all that apply.
Teacher/Professor
Other (please specify)

Job Supervisor

Academic Advisor

Please evaluate the applicant as compared to other students in terms of the characteristics below:

Leadership Potential
Cross-cultural Interests
Initiative and Problem Solving Skills
Creative and Independent Thinking
Adaptability
Interpersonal Skills
Respect for Others/Responsibility

Excellent

10

Good

Fair

Poor

Unable to Judge

Summer 2015 Study of the U.S. Institutes for European Student Leaders
A program of the Bureau of Educational and Cultural Affairs,
U.S. Department of State
REFERENCE FORM

Interest in Community Service

Maturity

Please choose one of the following:

Recommend with confidence
Recommend with reservation
Do not recommend

5 EVALUATION
Please submit short statements in the space provided, giving a candid evaluation of the applicants past
academic and/or work performance. Your statements will be given careful consideration by the selection
panel reviewing this application. Therefore, your comments should be as complete and detailed as
possible (attach additional pages if necessary).
1. Applicants ability to express his/her ideas clearly both in writing and verbally.
The applicant can express his ideas clearly and precise, with no mistakes in grammar or speech, both
in writing and verbally. Drago has proven that he is fluent in English when needed to address a numerous
crowd or a high committee. He was found flawless in his ability to express himself.
2. Applicants ability to interact well with other students and professors.
At first, the applicant distinguished himself from most of our members with his quality to interact to
others, especially professors and the other students in the University. From his current position in our
organization, that of Vice-president of Education, he is constantly needed to interact with all the
stakeholders in the educational area.
3. Applicants strengths and weaknesses as a potential exchange student.
The applicant has a great adaptability, being capable to accommodate very quick after his arrival in the
United States. We see no weaknesses in his statute as a potential exchange student, but strengths as the
capability to offer a great deal of information and know-how on leadership policies from Romania towards
the other students in the program and the capability to absorb information fast, being able to contribute on
his returning to the development of the community as an emergent leader.

4. Applicants outstanding or distinguishing talents and characteristics.

His talent of analyzing thoroughly every situation given by his preparation in Sciences and his charisma
have proven to be a great asset to our organization, Drago pushing forward the organizations goals by these
outstanding characteristics.

Summer 2015 Study of the U.S. Institutes for European Student Leaders
A program of the Bureau of Educational and Cultural Affairs,
U.S. Department of State
REFERENCE FORM

5. Applicants potential to significantly contribute to the public sector in his/her home community.
As a member of the Pupils Council during High school, the Applicant showed a great potential for
contributing in the citys and schools community, coordinating and being part of several projects
implemented for the benefit of the youth. From his current position, he coordinates a project that aims
guarding the values of democracy and transparency in our University.

I hereby confirm that the answers on this form are my own and represent my professional opinion of the
applicant.

Signature of Evaluator

Date

27.02.2015