Bachelor of Education Program
UNBC
3333 University Way
Prince George, BC V2N 4Z9
Confidential Reference Form for Admission to UNBC’s Bachelor of Education Program
Section B: To be completed by Referee
The above individual has applied for admission to UNBC’s Bachelor of Education Program. As part of the admission process,
applicants must seek the recommendations of those who have observed their work with children and youth. Referees cannot
be family members. Thank you for providing responses to the following questions to assist us in our evaluation of this
application.
What is your relationship to the applicant? How long have you known the applicant?
Please indicate your choice by clicking on the appropriate radio button (for manual assessments, please shade this area) you
think that best describes this applicant (1 is low, 9 is high).
CHARACTERISTICS
DEVELOPING
The applicant
sometimes
demonstrates qualities
that could lead to
successful teaching.
BASIC
The applicant often
demonstrates the
qualities necessary to
become a good
teacher.
PROFICIENT
The applicant
consistently
demonstrates the
qualities of a very good
teacher.
Have not
Observed
Dependable and reliable
1 2 3 4 5 6 7 8 9
Interacts effectively with children
1 2 3 4 5 6 7 8 9
Interacts effectively with adults
1 2 3 4 5 6 7 8 9
Ability to receive feedback and respond to
suggestions
1 2 3 4 5 6 7 8 9
Ability to solve problems
1 2 3 4 5 6 7 8 9
Flexibility ability to adapt to changed
circumstances and/or cope with stressful
situations
1 2 3 4 5 6 7 8 9
Communication written communication is
clear and concise
1 2 3 4 5 6 7 8 9
Elementary (K-7) Terrace Campus
Elementary
(K-7)
Prince
George
Campus Secondary (8-12) Prince George Campus
Program applied for:
Name of Applicant:
UNBC Student Number (if applicable):
Section A: To be completed by Applicant
CLEAR FORM
UNBC Reference Form BEd Program Page 2
CHARACTERISTICS
DEVELOPING
The applicant
sometimes
demonstrates qualities
that could lead to
successful teaching.
BASIC
The applicant often
demonstrates the
qualities necessary to
become a good
teacher.
PROFICIENT
The applicant
consistently
demonstrates the
qualities of a very good
teacher.
Have not
Observed
Communication oral communication is
clear and concise
1 2 3 4 5 6 7 8 9
Self-concept confident, motivated, takes
initiative
1 2 3 4 5 6 7 8 9
Commitment energy and willingness to
work through difficult tasks
1 2 3 4 5 6 7 8 9
Overall, is this applicant a suitable candidate for the teaching profession?
Please check a number:
Not at all Suited
Likely Not
Suited
Suited with
Reservations
Possibly Suited Suited Highly Suited
1
2
3
4
5
6
Please comment on the applicant’s strengths and weaknesses (if any) as a candidate for our program.
Please comment or elaborate on any areas where you have concerns about the applicant’s suitability for the teaching
profession.
Thank you for taking the time to complete this form.
Name of Referee:
Email Address:
Signature of Referee:
Telephone: (day) (evening)
Organization: Position:
Please scan and email this completed recommendation to education-admissions@unbc.ca by January 15th.
It is the policy of the University to treat the reports of reference, which it receives, as confidential. It can, however, be
required under
Freedom of Information legislation to disclose the substance of any report of reference but only where that
can be done without disclosing the identity of the writer. However, in rare cases, the University may be required by a court to
disclose the reference in its entirety to parties to litigation.