Erdiston Teachers’ Training College Postgraduate Diploma in Special Education Referee’s Report – Admission

SECTION ONE: Applicant Information

Name of Applicant:

Address:

Phone Number (Home)

Phone Number (Cell)

SECTION TWO: Referee Information

Name of Referee:

Address:

Educational Institution/Company:

Phone Number (Home)

Phone Number (Cell)

Qualifications:

Job Title:

Kindly state how long you have known the applicant and in what capacity (i.e. as Teacher, Employer, Instructor, Mentor etc.).

SECTION THREE: Assessment of Applicant

Please give an assessment of the applicant, with specific focus on his/her ability to pursue studies in teacher education by placing a tick in the appropriate column.

Good command of academic knowledge

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Ability to work with diverse populations

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Ability to function professionally

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Ability to function ethically

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Level of oral expression

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Level of written expression

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Ability to think critically and problem solve

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Level of Emotional maturity

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Initiative

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

Seriousness of purpose

Exceptional Ability

Above Average Ability

Average Ability

Below Average Ability

Very Low Ability

Unable to Judge Ability

I believe that the applicant has the skills, attitudes and disposition to deliver quality education and would recommend the applicant’s admission to the teacher education programme

Yes

Additional Comments:

Signature of Referee:

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.