Letter of Reference to support
Application for Graduate Admission
To Applicant: complete shaded area before sending this form to your referee.
To the Referee: We are particularly interested in the applicant's ability to carry on advanced study and research, teaching ability, potential
for successful study in the applicant's field, and weaknesses, if any. We would appreciate knowing the basis for your statements. Please
return to the department address above.
1. General Appraisal
(use reverse side if necessary)
2. Knowledge of Applicant: In what capacity and for how long have you known the applicant? (eg, as teacher, supervisor, employer.)
I was the applicant's ___
for ________ years and/or _ months between the years and .
In my opinion, of the
(number) students in this category I have supervised/dealt with in the last five years, I would rank this student in the upper
3. Ability in the English Language: Please comment on the applicant's ability to comprehend spoken English, to teach in English, and to pursue a
research problem and write a scholarly report or thesis in English.
(use reverse side if necessary)
4. Specific Abilities: For each category, check the most appropriate box.
(top 5%)
(top 15%)
(top 25%)
(top 50%)
(lower 50%)
Inadequate opportunity
to observe
Academic Achievement
Scholarly Promise
Research Ability
Teaching Potential/Promise
Verbal Skills
Writing Skills
Overall Rating
5. Referee
Name Academic Rank/Position E-mail Address
Institution Department Address and Postal Code
Telephone Number Date Signature of Referee
Personal information on this form is collected under the authority of Section 33(c) of Alberta’s Freedom of Information and Protection of Privacy Act for authorized purposes including admission and
registration; administration of records, scholarships and awards, student services; and university planning and research. Students’ personal information may be disclosed to academic and administrative units
according to university policy, federal and provincial reporting requirements, data sharing agreements with student governance associations, and to contracted or public health care providers as required. For
details on the use and disclosure of this information call the Faculty of Graduate Studies and Research at 492-3499 or see www.ualberta.ca/FOIPP.
Last Name First and Middle Name(s)
Department applying to Degree applying for Area of specialization
Department Mailing Address