RD04 - Reference for Research Degree Applicant

1. Applicant Details

The applicant should complete this section and send a copy to both referees. Please write clearly in block capitals. We recommend that this reference is sent in a sealed envelope with your application in order to avoid a delay in the decision.

Family name

Other names

2. Target Award

Degree(Tick one)

MSc by Research

MA byResearch

PhD ProfessionalDoctorate

Subject or Topic

Host Faculty(Tick one)

Business, Environment & Society Coventry School of Art and Design Engineering and Computing Health and Life Sciences

Mode of Study

Part-time Full-time Split-site

Preferred entry date

MM/YYYY

3. Referee to Complete

The above student is applying to this Faculty for admission to a research degree programme. To help us in the selection process, please complete both sides of this form.

How long have you known the applicant?

In what capacity do you know the applicant? (e.g. student or employee)

His/her suitability to undertake the research degree programme. (www.coventry.ac.uk/ResearchNet)

His/her previous research experience (if any)

His/her ability to take personal responsibility for the delivery of projects and an assessment of their ability to work in a team

His/her academic ability based on their final Degree classification, final year rank, grade or overall GPA obtained or expected to obtain

www.coventry.ac.uk

4. Overall Recommendation

Please tick one of the following:

I strongly recommend this applicant for the proposed programme of study

I recommend the applicant for the programme of study

I do not recommend the applicant for the programme of study

I am unable to comment

3. Referee to Complete ...continued

Your opinion as to whether their overall academic performance is a true reflection of their ability

5. Individual Criteria Assessment

Please assess the applicant on the following criteria in comparison to the graduate population. Please tick the appropriate box in relation to the following criteria.

Criteria Excellent100%-70%

Very Good69%-60%

Good59%-50%

Fair49%-40%

Poor39%-0%

Unable to comment

Intellectual ability

Written communication skills

Oral communication skills

Skill in using a word processor

Ability to meet deadlines

Ability to organize workload

Ability to work independently

Ability to produce original work

Ability to work in a team

Ability to learn new techniques

Ability to use computers

Ability to deal with complexity

Ability to deal with uncertainty

Practical ability

Numerical/mathematical ability

English language ability

Motivation to succeed

Determination to succeed

Overall assessment

www.coventry.ac.uk

Please submit additional pages if necessary.

Thank you for completing this form. Please return this reference to the applicant in the sealed envelope or directly to:

Research Admissions Recruitment and Admissions Office Student Centre, Room 106 Coventry University Priory Street Coventry CV1 5FB United Kingdom

6. Referee Information

Name

Position/Title

Organisation

Telephone

Email

Signature Date

7. Use of Information

Under the Data Protection Act 1998, applicants and students have a right to see any reference held on file. Please tick this square if you do NOT want your reference to be passed to a third party even if it is required for an application for a scholarship or award.

Telephone: +44 (0)24 7615 2237Fax: +44 (0)24 7688 8609 E-mail: research-apps.pg@coventry.ac.uk

www.coventry.ac.uk

MM/YYYY

Other names: HAMED M.Subject or Topic: MMYYYY: 1/6/15How long have you known the applicant: In what capacity do you know the applicant eg student: Hisher suitability to undertake the research degree programme wwwcoventryacukResearchNet: Hisher previous research experience if any: Hisher ability to take personal responsibility for the delivery of projects and an assessment of their ability to work in a team: Hisher academic ability based on their final Degree classification final year rank grade or overall GPA obtained or expected to obtain: Your opinion as to whether their overall academic performance is a true reflection of their ability: Organisation: Telephone: Email: MMYYYY_2: Family name: SULIMANCheck Box2: Check Box3: Check Box5: YesCheck Box6: Check Box7: Check Box8: Check Box9: YesCheck Box10: Check Box11: Check Box12: YesCheck Box13: PositionTitle: Check Box15: Name: Check Box17: Check Box18: Check Box19: Check Box20: Check Box21:

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