2. SGPP-Indonesia-Academic-Reference-Form-2017

SGPP-Indonesia Academic Reference
To be completed by the applicant
Please complete the fields below with your name and the programme applied for. Pass this form to your
referee and ask for this confidential reference to be returned directly to SGPP-Indonesia.
Full Name
(First, Middle, Last)

Date of Birth
(DD/MM/YY)

Programme for
which you are
applying
To be completed by the referee
Full Name
(First, Middle, Last)

Title of Current
Position
Institution Name
City

Country
Email Address

To the referee:
Thank you for taking the time to assess this SGPP Indonesia candidate. Your informed opinion will greatly assist the
admission board. Your report will be used for the purpose of determining whether or not the candidate should be
admitted to SGPP Indonesia. This recommendation form will not be communicated to the applicant at any time. Please
do not hesitate to contact us if you have any questions or comments at admissions@sgpp.ac.id.
After completing this form, please return it directly to SGPP-Indonesia via post or email.
By Email
To:
admissions@sgpp.ac.id
By Post (hard copy)
To:
School of Government and Public Policy (SGPP-Indonesia)
Jalan Anyar, Citeureup
Sentul – Bogor 16810
Indonesia

Should you need more information or assistance in completing the application form, please contact our admission

officer via email at admissions@sgpp.ac.id or telephone at +62 21 2932 5345 (Monday – Friday, 9 AM – 15.30 PM)
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SGPP-Indonesia Academic Reference

In what capacity do you know the applicant?
 Teacher

 Academic Advisor

 Head of Department

 Personal Acquaintance

How long have you known the applicant?

To how many other students are you going to compare the applicant?

Which of your courses, seminars, tutorials did the candidate attend? (please indicate the year, topic, total
number of hours, etc.)


Did the candidate write papers, dissertations under your supervision? (If so, please indicate their nature,
topics, length, grades, etc.)

How do you rank this student in comparison with other students in your class?
 Outstanding (Top 2%)  Very Good (Top 10%)  Good (Top 35%)  Below Average (Lower than 50%) 
Do not know
By using the chart below, please rate the applicant in comparison to other students who you have known in a
similar capacity.
1 = Excellent, 2 = Very Good, 3 = Good, 4 = Below Average, 5 = Do not know

Capacity for analysis and reflection
Written communicaion skills
Oral communication skills
Knowledge of social science
Maturity
Leadership skills
Ability to analyse a problem and formulate a
solution


1







2







3








4







5

















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SGPP-Indonesia Academic Reference
Curiosity and open mindedness
Aptitude for study
Ability to adapt to new situations
Capacity to adapt to studying in Indonesia




























Potential for development
 Very High

 High

 Average

 Low

In the time during which you have known the applicant, in what area has she/he progressed the most?

In which area do you feel that the applicant still needs to progress? What are his/her weaknesess?

We would appreciate your view of the applicant’s personality, character, academic background/ qualifications
and professionalism. Please include a brief assesment of strengths and weaknesses.

Your overall recommendation for the candidate is:
 Without any hesitation


 Excellent

 Good

 With some reservations

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