Full-time MBA Reference Form

The person named below has applied for admission to a postgraduate degree or diploma offered by this Business School. The information which you provide will assist us in evaluating his/her application.

ALL INFORMATION SUPPLIED WILL BE TREATED IN THE STRICTEST CONFIDENCE.

Applicant details

Please enter your name, date of birth and the programme you are applying for on the form, and send it to 2 people you wish to write this recommendation. Ask your referee to return the form directly to GIBS.

Surname:

First name:

Date of birth:

To the referee

Thank you for taking the time to write on behalf of this applicant. We value your direct contact with the applicant, which contributes to distinguishing the most suitable candidates from among a pool of well qualified young professionals. We ask for your personal and candid opinion on the applicant's personal qualities and his or her potential for senior management.

Please answer the questions listed. We will acknowledge the Reference Form in writing. The contents of your recommendation will not be communicated to any person who is not directly involved in the admission process, nor to the applicant. We appreciate your efforts on behalf of this applicant, and look forward to hearing from you.

Contact : The Admissions Manager at (011) 771 4120 or e-mail admissions@gibs.co.za

Details of person completing this form

Surname:

First name:

Organisation:

Position:

Postal address:

Country:

Postal code:

e-Mail address:

Telephone number:
Please note: numbers only! No spaces or punctuation

Fax number:
Please note: numbers only! No spaces or punctuation

How long have you known the applicant? Define your relationship with the applicant and the circumstances in which you met:

NB: Since GIBS reserves the right to verify all credentials and information on a applicant's file, please ensure you have indicated where you can be reached.

How do you rate the applicant on the following criteria?

Competence in his/her field:

Professionalism:

Focus on the task at hand:

Readiness to use opportunities for achievement:

Creativity and resourcefulness:

Intellectual curiosity:

Energy and drive:

Personal integrity:

Ability to work in a team:

Organisational ability:

Oral communication skills:

How do you rate the applicant's potential for becoming a responsible and successful manager compared with other students or employees whom you have known in a similar capacity?

Please give your answers to the following questions. We encourage you to be as candid as possible

Comment on the applicant's career progress to date and his/her career focus:
Maximum 10 lines

What do you consider to be the applicant's major strengths? Comment on the factors that distinguished the applicant from other individuals at his/her level"
Maximum 10 lines

What do you consider to be the applicant's major weaknesses? Comment on his/her efforts to improve them:
Maximum 10 lines

Describe any situation(s) or incident(s) based on first hand experience which illustrate(s) the applicant's sense of purpose and maturity:
Maximum 10 lines

Comment on the applicant's potential for senior management. Describe an occasion you may have had to observe the applicant in a leadership role:
Maximum 10 lines

Describe the applicant's interpersonal skills. Comment on his/her ability to establish and maintain relationships, sensitivity to others, self confidence, attitude, etc. Specifically comment on the applicant's behaviour or skills in a group setting/team environment:
Maximum 10 lines

Any additional comments that would be of assistance to the selection committee:
Maximum 10 lines

NB: Please double-check that you fill in your email address correctly. This form cannot submit correctly unless the email address is correct and valid! Thank you.