Reference

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

REFERENCE

Buckingham MK18 1EG, England. Tel: +44 (0)1280 814080


Fax: +44 (0)1280 822245. Email: [email protected]

PLEASE WRITE IN BLOCK CAPITALS AND USE BLACK INK

To be completed by the applicant

Title (eg Mr/Mrs/Miss/Ms): Given Names: Family Name:

Address:






Proposed Course:


To be completed by the Academic Referee

The applicant who has asked you to act as a referee is applying to enter the University of Buckingham for a degree
course. We would be grateful to have your assessment of his / her ability to follow a course of study at University
level, including an assessment of the candidates motivation and any special factors you feel we should take into
account.

Title: Given Name: Family Name:

Address:





Tel No: Email Address:
Length of time you have known the
applicant:

In what
capacity:



REFERENCE

Please write your assessment here and return the completed form to the address shown at the beginning of this
section.

















































School or College Stamp:

Signature:

Date:

You might also like