PolyU-Research

Part B To be completed by the Referee Name of the Referee: * Prof./Dr/Mr/Ms
(*Please delete as appropriate.)
(Surname first and in BLOCK letters) Position: Institution & Address:
3.
If you are able to, please comment on the applicant’s research proposal.
4.
Please give any other comments that you think will be of assistance in assessing the suitability of the applicant for a research degree.
Notes to the Applicant: The applicant should complete Part A below and send this form to a referee for completion of Part B. The Research Office will only accept completed Referee’s Report Forms directly from the relevant referees. Please see "Notes to the Referee" below. Please note that an applicant’s proposed supervisor and individuals from non-academic circles are normally not acceptable as referees.
2.
Please give an assessment of the applicant’s suitability for pursuing a research degree (Please tick as appropriate.) Item Academic achievements Knowledge in the proposed research area Capacity to undertake independent research English proficiency Chinese proficiency, if applicable Analytical abilities Capacity of original thinking Motivation to pursue research studies Excellent (top 5%) Very Good (top 15%) Good (top 25%) Average Below Average Unable to Assess
Telephone No.:
Fax No.:
Dept. Applied To: _______________________ Application No.: (If available) Part B To be completed by the Referee (Cont’d) Applicant’s Name: 1. How long and in what capacity have you known the applicant?
Dept. Applied To: Application No.: (If available)
THE HONG KONG POLYTECHNIC UNIVERSITY
CONFIDENTIAL
THE HONG KONG POLYTECHNIC UNIVERSITY Referee’s Report Form (To be mailed or faxed by the referee directly to the address noted in the box below.)
5.
What is your overall recommendation? (Please tick as appropriate.) Highly recommended Recommended Not recommended
I understand that in accordance with the Personal Data (Privacy) Ordinance of the Hong Kong Special Administrative Region, the above comments are subject to the applicant’s request for access both during and after the admissions process, before the data are destroyed.
Part A To be completed by the Applicant Name of the Applicant: * Mr/ Ms
(*Please delete as appropriate.)
(Surname first and in BLOCK letters) Programme Applied For: Department/School: Proposed Research Area: MPhil PhD (Please tick one only.)
Notes to the Referee: Please complete Part B of this form and return it directly to the Research Office by mail or by fax: Research Office The Hong Kong Polytechnic University Room M501, Li Ka Shing Tower Hung Hum Kowloon, Hong Kong [Tel: (852) 3400 3635 / Fax: (852) 2355 th the Personal Data (Privacy) Ordinance of the Hong Kong Special Administrative Region, applicants can request access to their referee’s report during and after the admissions process, before the data are destroyed.
Signature of the Referee:
Date:
Thank you for your help.
May 2009