ONTARIO GRADUATE SCHOLARSHIP
APPLICATION
(For use by returning Ryerson Students)
Academic Assessment Report
Page 1 of 2
Notice of Collection:
In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act (“FIPPA”), the
information on this form is collected under the authority of the Ryerson University Act, 1977 and will be used
by the University to award and administer all aspects of the Ontario Graduate Scholarship Program and
required reporting to the Ministry of Training Colleges and Universities and other related or consistent
purposes. All personal information that is collected will be used, stored, and destroyed in accordance with
Ryerson University’s Information Protection and Access Policy. If you have questions about the collection, use
and disclosure of this information by Ryerson University please contact Coordinator, Graduate Scholarships
and Awards in the Yeates School of Graduate Studies, Ryerson University, 350 Victoria Street, Toronto,
Ontario, M5B 2K3, (416) 979-5365.
INSTRUCTIONS: (For Applicant completion)
Complete PART A of the form, save a copy of the form and forward the form electronically to the Referee for
completion of the academic assessment report.
PART A: (Applicant completes)
Name of Applicant:
Program:
Student number:
Indicate to whom the Referee forwards the
assessment to:
E-mail address for the Referee’s
submission:
By the deadline date:
INSTRUCTIONS: (For Referee completion)
Complete PART B of the form marking the category that best describes the Applicant’s academic performance in
relation to all students at a similar stage that you have previously evaluated. Apply the strictest interpretation of the
ranking indicated below. For example, the ranking of a student in the top category is expected to occur infrequently.
Sign the report and return the form to the e-mail address provided by the Applicant no later than the deadline date.
PART B: (Referee completes)
TOP
2%
TOP
5%
TOP
10%
TOP
20%
TOP
50%
LOWER
50%
Background preparation
Originality
Present ability at research
Industriousness
Judgement
Oral and written skills
Overall ability
I know of / knew the student in my capacity as:
From period (MM/YY)
To period (MM/YYYY)
ONTARIO GRADUATE SCHOLARSHIP
APPLICATION
(For use by returning Ryerson Students)
Academic Assessment Report
Page 2 of 2
Additional Information from the Referee:
Name of Referee: Signature: Date:
University: Department: Position/Title:
click to sign
signature
click to edit