Your name (first name and last name) *

Your email address *

What is your current position? *E.g. Senior lecturer/Constable/Teacher/Coordinator/Freelancer, etc. *

Who is your current employer? *E.g. The University of Queensland/Queensland Police/PA Hospital/Self-employed, etc. *

Are you an AUSIT member? *

Who are you completing this Reference Request for? *

How long have you known the scholarship applicant for? *

In what capacity do you know the scholarship applicant? (as a colleague/employee) *

Describe the applicant's strongest qualities/skills/abilities that you think make them stand out *

State what benefits you think the online course and subsequent NAATI certification/recognition will bring to the applicant and their work performance *

This referee form is submitted by: *

By submitting this form, I declare that, to my best knowledge, the aforementioned applicant is of good character and suitable to undertake the QPI Scholarship Program. * *