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Reference Report
for application to the International Baccalaureate Diploma Programme
Email address *
Applicants Name: Last Name, First Name
Your answer
Referee Information (Can be a Teacher/Counselor/Administrator/Coach)
The above named individual has applied for admission to the International Baccalaureate Programme. This reference report is confidential; the applicant must not see yoour responses prior to submission.
Referee's Name
Your answer
Position/Title/Organization Name
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What is your relationship to the applicant?
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How long have you known the applicant in this capacity?
Your answer
Work Ethic, including dependability and reliability.
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Leadership skills (ability to plan and lead)
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Problem-solving and ability to stay on task
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Adaptability/flexibility to changing circumstances and/or ability to cope with stressful situations.
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Interpersonal skills and the ability to set reasonable limits
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Interpersonal skills with adults, including the ability to receive feedback and respond to suggestions.
Column 1
Excellent
Very Good
Fair
Poor
Unkown
English language competence, both oral and written.
Column 1
Excellent
Very Good
Fair
Poor
Unkown
Please comment or elaborate on any areas where you have reservations concerning the applicant's suitability for admission to the IB Diploma Programme.
Your answer
Overall recommendation:
Thank you for taking the time to fill out this form.
Your answer
A copy of your responses will be emailed to the address you provided.
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