WORKSHOP ON MONITORING AND EVALUATION OF MALARIA PROGRAMS
REFERENCE FORM
Name of applicant:
Your answer
The candidate named above has applied for the Regional Workshop on Monitoring and Evaluation of Malaria Programs. The workshop has been designed to build the capacity of professionals with skills on monitoring and evaluation of malaria programs. It would be helpful to us in selecting candidates to have your evaluation of the applicant on the questions listed below. Under no circumstances should the completed form be returned to the applicant. References should be completed and submitted by April 14, 2017
How long have you known the applicant?
Your answer
How well and in what capacity do you know the applicant?
Your answer
Please rate the applicant in terms of each of the following (one checkmark for each row):
Exceptional
Well above average
Above average
Average
Below average
Unable to judge
Leadership
Creativity
Initiative
Professional experience
English language ability (if not a native speaker of English)
Self-expression
Overall intellectual ability
What are the applicant’s academic/professional strengths and weaknesses?
Your answer
What opportunities will the applicant have to apply the skills learned at the workshop?
Your answer
Has the applicant shown noteworthy qualities of leadership in the organization and execution of research projects or other work? If so, please cite examples.
Your answer
Do you recommend the applicant for this workshop on Monitoring and Evaluation of Malaria Programs?
Any additional comments?
Your answer
Click below to certify that the above information is true and complete to the best of your knowledge and belief, and understand that any willfully false statement is sufficient cause for rejection of this application, withdrawal of offer of admission or, if a fellowship has been awarded, for the termination of the fellowship.
Date
MM
/
DD
/
YYYY
Provide your Name, Position/Title, Email, Phone number
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms