Academic Reference Form Dec 2015(1)
The Education for
Sustainable Energy
Development
Scholarship
PLEASE TYPE CLEARLY
Academic Reference Form (p. 1 of 2)
To be completed by the student
1
Family name
First name
Middle name(s)
Name of program
Phone Number
E-Mail
Reference Number
The reference number can be found in the confirmation email you received after submitting your application online.
To be completed by the referee
Instructions
If the reference is uploaded by the referee via our Web-based application system, he/she should indicate the applicant's reference number
Only the Academic Reference Form may be e-mailed by the referee to: esedscholarship@globalelectricity.org
Please note that referees may be contacted directly by the Academic Panel.
Academic references must be received by the Global Sustainable Electricity Partnership General Secretariat by the deadline indicated on the
Partnership's website.
2
Referee's name
Position
Department
Institution
Country
Phone Number
Fax Number
E-mail
3
4
How long have you known the applicant (years) and in what capacity? How well do you know the applicant?
Please indicate with a (√) your rating of the applicant in terms of the attributes indicated below. Please mark only one box per
attribute. We are interested in the applicant’s academic ability, scholarly promise and ability to successfully complete an intensive
program of research and study. The comparison group should consist of applicants at a comparable stage in their academic career.
Outstanding
Top 2%
Academic ability
Originality /creativity
Oral expression
Written expression
Initiative
Perseverance
Team Work
Ability to work independently
Top 5%
Excellent
Above
Average
Average
Top 10%
Top 15%
Top 20%
Below
Average
Bottom 20%
No Basis
To Judge
Academic Reference Form (p. 2 of 2)
5
How relevant is the applicant’s program of choice to sustainable energy development?
Very
Somewhat
Not very
How relevant is the program to the needs and priorities of the applicant's community and/or country?
Very
Somewhat
Not very
How likely is it that the applicant will complete the program?
Very
6
7
Somewhat
Not very
Please add any further comments that you wish to make about the applicant. You may attach a separate piece of paper if you require more space.
Your signature confirms the accuracy of the information provided in this application form. Please sign the form by
hand and submit a scanned copy, or provide a digital signature.
Signature of Referee
Date (YYYY-MM-DD)
Sustainable Energy
Development
Scholarship
PLEASE TYPE CLEARLY
Academic Reference Form (p. 1 of 2)
To be completed by the student
1
Family name
First name
Middle name(s)
Name of program
Phone Number
Reference Number
The reference number can be found in the confirmation email you received after submitting your application online.
To be completed by the referee
Instructions
If the reference is uploaded by the referee via our Web-based application system, he/she should indicate the applicant's reference number
Only the Academic Reference Form may be e-mailed by the referee to: esedscholarship@globalelectricity.org
Please note that referees may be contacted directly by the Academic Panel.
Academic references must be received by the Global Sustainable Electricity Partnership General Secretariat by the deadline indicated on the
Partnership's website.
2
Referee's name
Position
Department
Institution
Country
Phone Number
Fax Number
3
4
How long have you known the applicant (years) and in what capacity? How well do you know the applicant?
Please indicate with a (√) your rating of the applicant in terms of the attributes indicated below. Please mark only one box per
attribute. We are interested in the applicant’s academic ability, scholarly promise and ability to successfully complete an intensive
program of research and study. The comparison group should consist of applicants at a comparable stage in their academic career.
Outstanding
Top 2%
Academic ability
Originality /creativity
Oral expression
Written expression
Initiative
Perseverance
Team Work
Ability to work independently
Top 5%
Excellent
Above
Average
Average
Top 10%
Top 15%
Top 20%
Below
Average
Bottom 20%
No Basis
To Judge
Academic Reference Form (p. 2 of 2)
5
How relevant is the applicant’s program of choice to sustainable energy development?
Very
Somewhat
Not very
How relevant is the program to the needs and priorities of the applicant's community and/or country?
Very
Somewhat
Not very
How likely is it that the applicant will complete the program?
Very
6
7
Somewhat
Not very
Please add any further comments that you wish to make about the applicant. You may attach a separate piece of paper if you require more space.
Your signature confirms the accuracy of the information provided in this application form. Please sign the form by
hand and submit a scanned copy, or provide a digital signature.
Signature of Referee
Date (YYYY-MM-DD)