Confidential Reference Form

Applicant Services (Postgraduate)
Kingston University Cooper House
40-46 Surbiton Road
Kingston Upon Thames
KT1 2HX

Tel: 08700 841 347
Fax: 0208 417 3532
Email: eceresearch@kingston.ac.uk

Applicant’s Full Name		
Course Title		

1.	How long have you known the applicant and in what capacity?

______________ years. ______________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2.	How do you rate his/her academic ability? Please relate your comments to the candidate’s class of degree (for example: is of 2:1 standard, or is of higher ability than the class of degree achieved). If he/she is about to take any further examination, please give a realistic prediction.

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3.	Taking an overall view, what do you consider to be his/her major talents and most significant weakness? Please relate this to the specific course for which the candidate is applying Eg. PG Cert, MA, PhD.

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4.	Please comment on the applicant’s ability to sustain his/her motivation for study. Has the applicant previously shown an interest in the proposed area of study?

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5.	Please feel free, either in the following space or in a separate letter, to make any further comments which you feel will be helpful (for example, relevant industrial or other experience).
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Thank you for supplying this information

Should Kingston University need to contact you for any further information, please complete the section below:

Signature of Referee: ________________________________________         Date: ______________________

Name & Position: __________________________________________________________________________

(Please use the company/university stamp as a means of verification. If this is not possible please include company a Business card or include company letter head.)

Company / University Stamp

Address: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Postcode:  __________________
Tel: _____________________ Fax: _____________________
Email: ____________________________________________________________________________________