Recommendation Form A

HIROSHIMA UNIVERSITY
Graduate School for International Development and Cooperation

Recommendation Form for Admission to Graduate School

Note to Candidate : Please fill out your name below. Give this form to the person who will write your
recommendation. Ask your recommender to return the recommendation form to you in a sealed and
stamped envelope.Submit the envelope together with your application documents.

Name of Applicant
Last name (Family name / surname)

First name

Middle initial

Applicants Signature

About the applicant

(Please type or print, and if you feel it convenient, your response to some or all items

may be on separate sheet.)

How long have you known the applicant, and what capacity?

If you are using comparison group as the basis for evaluation, please indicate what group you are
using.

Please rank the applicant, as well as you can, along the listed dimension by

. If it is difficult to

evaluate, please check

Unable to Judge.

Top
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Below

Unable to

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1%

5%

10%

20%

50%

50%

Judge

Motivation and initiative

Creativity

Intellectual ability

Overall potential for graduate

English Language Proficiency

Japanese

study

Proficiency

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Language

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Please respond to the following.

1. Please describe the particular talents, strengths and weaknesses of the applicant.

2. If you have worked with the applicant on any sort of special project, please give an
evaluation of his or her performance.

3. Please give your judgment about the ability of the applicant to pursue independent
research.

4. Additional information (Including evaluation of personality).

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Recommendation Form A

Re co mme nd e r (Please type or print.)

Name
Title of Position
University or Company
Telephone
Address
Signature

Thank

you

Date

for

taking

time

to

respond.

The

admission

committee

feels

that

recommendations are among the most valuable data used in the selection process.

If you require further information, please contact: Office of Graduate School for
International Development and Cooperation, Hiroshima University
Higashi-Hiroshima 739-8529, JAPAN

* Double-side printing.

1-5-1, Kagamiyama,