Application for Admission

Confidential Recommendation Form

In connection with an application for admission to this University, your name has been provided by the
applicant as a referee. We would appreciate your assistance in assessing the applicant’s suitability for
study at the University by completing and returning this form by January 5, 2009 to
kearnymyanmar@gmail.com or PO Box 8, Mae Ping Post Office, Chiang Mai, 50301, Thailand.

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Part A (To be completed by applicant)

Name of Applicant :

Programme Applied for :

Signature of Applicant : Date :

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Part B (To be completed by referee)

1. How long and in what capacity have you known the applicant?

2. What do you consider to be the applicant’s strength(s) and weakness(es)?

3. Please rank the applicant, in comparison to other students or employees whom you have known in
similar capacities, with respect to the following criteria. (Please indicate by putting ticks in appropriate boxes.)

Outstanding Excellent Good Average Below Unable

Characteristic (Top 5%) (Top 15%) (Top Third) (Middle) Average to Assess
Intellectual Ability
Chinese Proficiency
English Proficiency
Emotional Maturity
Capacity for Problem Solving
Diligence
Team Spirit
Research Ability
Motivation for Postgraduate Studies

4. Please add any comment you think will be of assistance in assessing the applicant. A separate sheet
may be appended if necessary.

5. Would you recommend the applicant to pursue their studies at Hong Kong Baptist University? (Please
put a ‘ ’ in the appropriate space.)

Highly Recommended

Recommended

Not Recommended

6. Signature Date

Name (in block letters)

Organization

Position

Telephone No. Fax No.

Email Address

Address