R
EPORT ON APPLICANT FOR ADMISSION TO GRADUATE STUDIES (ACADEMIC)
THE UNIVERSITY OF BRITISH COLUMBIA, VANCOUVER BC CANADA V6T 1Z1
TO THE APPLICANT: Complete the boxed area below before sending this form to your referee, and please provide the UBC Graduate Program mailing
address to your referee by completing the UBC Graduate Program Address box at the end of the second page. Completed reports or reference letters must
be sent directly to the Graduate Program to which you are applying. For this report or a reference letter to be considered official, the report or reference
letter and the envelope’s seal must be signed by the referee.
Name of Applicant:
who is applying for admission to study for the degree of
in the Graduate Program
Field of Study:
TO THE REFEREE: A letter of reference may be submitted in lieu of this form. Please ensure that you sign your reference letter or form and the envelope’s
seal to be considered official.
In what capacity, how well, and how long have you known the applicant ?
Does your university offer the graduate degree program this applicant seeks? Yes No
If yes, does the applicant meet the minimum admission requirements for acceptance to this program at your university?
Yes No (give reasons)
If this applicant took a course(s) from you, what was his/her rank in the class?
Course Name: Course Number: Rank in Class:
Course Name: Course Number: Rank in Class:
Please rank the applicant as follows: 0 = Poor, 1 = Fair, 2 = Good, 3 = Very Good, 4 = Excellent, 5 = Outstanding
Teaching Ability (if known)
(over)
www.grad.ubc.ca/forms page 1 of 2 last updated: 2010-05-12 / 2013-07-31