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Family Name:
Section 2: Please tick the assessment most appropriate response under questions 2 through 5(a) and
questions 6 through 8 inclusive. Please type or print answers to questions 1, 5(b) and 9.
Q1 At which stage did you know the applicant (e.g. Year
1, Honours, etc.)?
Excellent
Very good
Average
Poor
N/A
Excellent
Very good
Good
Average
Poor
(b) Verbally
Q4 What degree of potential does the applicant have to
conduct Higher Degree Research?
Excellent
Very good
Good
Average
Poor
Not sure
Very good
Good
Average
Poor
Excellent
No
Unreserved
Very strong
Strong
Reserved
None
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Section 2: (continued)
Q9 Please comment on the applicants demonstrated academic ability, as well as research ability and research potential.
Given Names:
Family Name:
Occupation:
Work Email:
Work Phone:
Signature: __________________________________________
Date: _________________________
PRIVACY STATEMENT
Australian Catholic University is committed to ensuring the privacy of all information it collects. Personal information supplied to the
University will only be used for administrative and educational purposes of the institution. Personal information collected by the
University will only be disclosed to third parties with the written consent of the person concerned, unless otherwise prescribed by law.
For further information, please see the Universitys Statement on Privacy http://www.acu.edu.au/privacy_policy.cfm.
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