APPLICATION FOR STUDY IN THE UNITED STATES

CONFIDENTIAL LETTER OF REFERENCE

This letter of reference must be accomplished by a teacher under whom the applicant has studied or pursued research in the proposed field of study or by someone who has
supervised the applicant in work related to the proposed field of study. This letter should be in English and typewritten or printed from a computer.
INSTRUCTION TO THE REFEREE: Please accomplish this form and put in an envelope. To ensure confidentiality, affix your signature across the seal of the envelope.
NAME OF APPLICANT:
NAME OF REFEREE:
I. HOW LONG HAVE YOU KNOWN THE APPLICANT?
II. IN WHAT CAPACITY HAVE YOU KNOWN THE APPLICANT?
TEACHER OR PROFESSOR EMPLOYER OR JOB SUPERVISOR
RESEARCH ADVISER OTHER (pls. specify)
III. PLEASE DESCRIBE THE APPLICANTS QUALIFICATIONS AND POTENTIAL FOR SUCCESSFULLY COMPLETING FURTHER
ACADEMIC STUDY IN THE U.S. YOUR INSIGHTS ON THE FOLLOWING ARE GREATLY APPRECIATED:
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Your statement will be given considerable importance by the Selection ommittee reviewing this student!s application, and should, therefore,
be as complete and detailed as possible. Your comments should be continued on the reverse side if more space is needed.

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CONFIDENTIAL LETTER OF REFERENCE 5C&#$#'*(6
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IV. IN THE RATING CHART BELOW/ PLEASE EVALUATE THE APPLICANT IN COMPARISON WITH OTHER STUDENTS WHOM YOU HAVE
KNOWN DURING YOUR PROFESSIONAL CAREER.
E8CELLENT VERY GOOD AVERAGE BELOW AVERAGE
&ntellectual -bility
/nowledge of )ield
0ork "abits
*otivation to Pursue 1raduate Study
Seriousness of Purpose
Potential for Significant )uture
ontribution to )ield
$esourcefulness and &nitiative
#motional *aturity
-daptability to 2ew Situations
,eadership 3ualities
Teaching Potential
V. PLEASE INDICATE WHERE THE APPLICANT WOULD
RANK AMONG STUDENTS CURRENTLY OR RECENTLY
IN YOUR DEPARTMENT.
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T,* FULBRIGHT SCHOLARSHIP COMPETITION
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NOTE: P-#) cannot guarantee this letter!s confidentiality once it becomes part of P-#)!s records.