Please assess this candidate’s suitability for the teaching profession in terms of character, personal qualities, and ability to work with young people. The information on this form will be used for reference purposes only and will not be disclosed unless written permis-sion is granted. Please forward this form in a sealed envelope to:

Crandall University Education Admissions Office, Box 6004, Moncton, NB E1C 9L7Fax: (506) 863-6460

The deadline for submission is January 15Th.Indicate your rating of this candidate in the categories listed below.

Superior Above Average Average Below Average N/A

Leadership Potential

Interpersonal Skills

Oral Communication

Written Communication Skills

Organizational Skills

Academic Potential

Teamwork

Autonomy

Creativity

Sense of Responsibility

RefeRence foRmBachelor of education

Name of Referee (please print)

Institution/Organization

Position

Relationship to Applicant

I have known the applicant for year(s) in my capacity as

Daytime Phone # Email

Signature Date

First Name Middle Initial Last Name

applicanT’s name (to be filled out by applicant)

referee’s informaTion

referee’s assessmenT

As it aids in the selection process, additional comments are extremely valuable to the Education Admissions Committee. Space is available on the reverse of this form for you to note any additional observations/remarks; please be deliberate in commenting on the candidate’s teaching qualities. Supplementary letters of recommendation are also acceptable.

EDRF-092011

addiTional commenTs:

EDRF-092011

1-888-968-6228Box 6004, Moncton, New Brunswick, Canada E1C 9L7

Office: (506) 858‑8970 Fax: (506) 863‑6460

www.crandallu.ca