Institute of Development Policy and Management (IOB) University of Antwerp

APPLICANT REFERENCE FORM

Section 1: To be completed by the applicant The form of your name should correspond exactly with your application form.

Family name of applicant: First name: Date of birth: Programme you are applying for: Master of Development Evaluation and Management Choice of Track: Track 1: The macro dimensions of aid Track 2: Development interventions and local institutional change Master of Governance and Development Choice of Track: Track 1: Governance and conflict Track 2: Local governance and poverty reduction Master of Globalisation and Development Choice of Track: Track 1: Global Opportunities for Local Development

Section 2: To be completed by the referee The above-mentioned applicant has applied for admission to the Institute of Development Policy and Management (IOB) of the University of Antwerp as a postgraduate student for the above-mentioned Masters programme. The Admission Board which carries out the selection of applications considers the applicants references an important part in the selection process. We would be grateful if you could assess the applicants academic and/or professional suitability to attend the programme listed above. The questions below should be completed to your own convenience. All information provided by you is treated confidentially and is only disclosed by those involved in the selection process. You are requested to sign this reference form and to place it in a sealed envelope. Kindly return the sealed envelope to the applicant as he/she has to add it to his/her application form. Ability of the applicant to undertake a study programme at Masters level

1.

2.

Special professional qualifications of the applicant

Applicant reference form Masters programmes IOB

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Relevance of the programme for the applicants future employment

4.

General description of the strong and weak points of the applicant

5.

Special remarks (if applicable)

6.

Please rate the applicant as far as the following abilities are concerned

Excellent

Above average

Average

Below average

Low

No opinion/no information

Intellectual ability Ability to work in multi-cultural groups Ability to write academic texts Discipline in working independently Ability in oral presentations with supporting materials (PowerPoint, etc.)

7.

Kindly provide the following information

Please state your relationship to the applicant:

How long have you known the applicant?

Name: Institution:

Position:

Signature:

Date:

Official stamp of your institution:

Applicant reference form Masters programmes IOB

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