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Referee Form

To allow you to speak freely about the Applicant without compromise or restriction, please send your completed Referee Form directly to QRCA by uploading through the QRCA website at www.qrca.org or sending by email to Siri Manning at .

Name of Applicant:
Your Name:
Your Position/Title:
Company:
Contact Details: / Phone: / Fax:
Email

1. In what capacity and for how long have you known the Applicant?

2. How firm is the Applicant’s commitment to his/her career in qualitative marketing research?

3. In what way would attendance at the QRCA conference contribute to the Applicant’s academic or professional development?


4. Your evaluation is based on: (please select one)

Previous class or tutoring Previous or current employer

Other: (please specify) ______

5. Please rate the Applicant’s present English language ability in the following areas:

(select one rating for each attribute)

Reading Superior Good Fair Rudimentary

Writing Superior Good Fair Rudimentary

Comprehension (Aural) Superior Good Fair Rudimentary

Speaking Superior Good Fair Rudimentary

7. Please comment on the Applicant’s ability to participate in an educational and social environment where they will be required to demonstrate an understanding and use of the English language.

6. How would you rate the Applicant in the following areas? If you are unable to evaluate an area, please leave it blank. (Select one rating for each attribute,)

Leadership Excellent Very Good Average Below Average

Initiative Excellent Very Good Average Below Average

Seriousness of Purpose Excellent Very Good Average Below Average

Enthusiasm Excellent Very Good Average Below Average

Adaptability Excellent Very Good Average Below Average

Maturity Excellent Very Good Average Below Average

Emotional stability Excellent Very Good Average Below Average

Public speaking Excellent Very Good Average Below Average

Community service Excellent Very Good Average Below Average

7. Please tell us why you are supporting this application and how you feel the Applicant would benefit:

Signature: / Date:

Once completed, please send this form directly to QRCA by uploading through the QRCA website at www.qrca.org or sending by email to Siri Manning at by Friday 8 September 2017