For Office use

Application No.

Hong Kong University of Science and Technology

MBA Program Confidential Reference Form

The applicant should enter his / her full name and the program title(s) in the space below. To
facilitate us to retrieve your application efficiently upon receiving your references,
please write your full name below as the one you filled in the online application form.
After completing the following, the applicant should send this form to his / her referee
requesting this to be completed and returned to the following address as soon as possible:

MBA Program
School of Business and Management
Hong Kong University of Science and Technology
Clear Water Bay, Kowloon
Hong Kong

Name of Applicant: Mr/Mrs/Ms ________________________________________________

Surname First Middle
Program Title(s) 1st choice ________________________________________________

2nd choice ________________________________________________

The person whose name appears above has applied for admission to HKUST MBA Program.
Please answer the questions below as specific and candid as possible. After completion,
please sign and return this reference form to the HKUST MBA Program at the above address.
Under the provision of the Personal Data (Privacy) Ordinance, information contained in this
report will be shown to the applicant upon request.

Name of Referee _____________________________Email address_____________________

Position and company _________________________________________________________

Address ____________________________________________________________________

1. How long and under what circumstances have you known the applicant?
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2. What is your assessment of the applicant's intellectual ability?

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3. What do you consider the applicant’s most outstanding talents or characteristics?

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4. What do you consider to be the applicant’s chief liabilities or weaknesses?
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5. What is your opinion of the applicant's motivation towards and suitability for a career in the
chosen field(s) of study?
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6. Please comment on the applicant’s abilities in the following areas (circle the number):

Excellent Average Poor

Intellectual and analytical abilities 10 9 8 7 6 5 4 3 2 1
Communication Skills 10 9 8 7 6 5 4 3 2 1
Diligence 10 9 8 7 6 5 4 3 2 1
Capacity to work independently 10 9 8 7 6 5 4 3 2 1
Capacity of original thought 10 9 8 7 6 5 4 3 2 1
Organizational skills 10 9 8 7 6 5 4 3 2 1
Enthusiasm for advanced studies 10 9 8 7 6 5 4 3 2 1

7. Please comment on the applicant’s characteristics in the following areas (circle the number):

Excellent Average Poor

Self-awareness 10 9 8 7 6 5 4 3 2 1
Self-control 10 9 8 7 6 5 4 3 2 1
Motivation 10 9 8 7 6 5 4 3 2 1
Empathy 10 9 8 7 6 5 4 3 2 1
Social skill 10 9 8 7 6 5 4 3 2 1

8. The Admissions Committee would appreciate any additional statement you may wish to
make concerning the applicant’s capacity for postgraduate study.

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Signature Date

(In order to economize we shall not acknowledge receipt of this form. We thank you for
your assistance in the recruitment process.)