JCU Global Experience Program - Outbound Exchange
ACADEMIC RECOMMENDATION FORM
This form is to be completed by a JCU academic and submitted as part of the student's Exchange Application.
This student is applying for admission to the JCU Global Experience program that involves full-time academic work in a cross-cultural setting. To benefit
from this experience a student must be highly motivated, emotionally mature, prepared for the educational environment and able to adapt easily to
people with different cultural and social backgrounds.
STUDENT DETAILS
Surname First name Student ID
ASSESSMENT
What is your relaonship to the applicant?
How long have you known the applicant?
□ less than 6 months □ 6-12 months □ more than 12 months
We would greatly appreciate your thoughul and candid appraisal of this applicant’s ablity to suitably represent JCU in an Exchange program.
In my opinion, the applicant’s quality of work is…
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
In my opon, the applicant’s aendance and
reliability are…
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
In my opinion, the applicant’s arculaon and
cooperaon are...
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
In my opinion, the applicant’s self-reliance and self-
assurance are...
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
In my opinion, the applicant’s open mindedness is...
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
Based on recent performance, the applicant’s
performance compared with other members of the
class is…
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
Movaon - In my opinion, the applicant’s movaon
and seriousness of purpose for pursuing an exchange
is…
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
JCU Ambassador qualies - In my opinion, the
applicant’s maturity, social skills and adaptability for
pursuing an exchange are…
□ Outstanding □ Good □ Average □ Poor □ Unable to judge
Foreign language prociency level (if applicable) - In
my opinion, the applicant is at the following level…
□ Advanced □ Intermediate □ Beginner □ Average □ Unable to judge
Addional Comments (oponal) - Please comment on any area(s) in which the applicant might be relavely strong or weak and on what the applicant
would gain from an internaonal exchange experience.
ACADEMIC RECOMMENDATION
Based on academic performance and potenal, the degree of support I give the applicant for parcipaon in the JCU Exchange Program is…
□ Unreserved recommendaon □ Recommend with reservaon □ Do not recommend □ Unable to judge
ACADEMIC REFEREE DETAILS
Referee signature
This reference is condenal. Do you give
permission for it to be released if requested by
the applicant?
□ Yes □ No
Referee Name Referee email
Title and Department Referee phone
click to sign
signature
click to edit
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