endeavour referee report - international education program... · endeavour referee report 2016 •...
TRANSCRIPT
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EXAM
PLE1. APPLICANT DETAILSTitle:First Name: Last Name:
The Endeavour category the applicant is applying for:
Application ID:(If known)
2. REFEREE DETAILS
Title:
First Name: Last Name:
Position Held: Organisation:
Phone: + Mobile:
(Please include country and area codes)
Email:
Postal Address
Address Line 1:
Address Line 2:
City/Suburb: State/Province:
Postcode: Country:
Relationship to applicant Length of relationship
Years Months
3. APPLICANT EVALUATION
Please evaluate the applicant against the criteria below, in terms of your experience. (Example: Top 5% = Excellent, Top 10% = Very Good, etc.)
Poor Average Good Very Good ExcellentUnable to comment
Academic/professional achievement
Leadership qualities
Personal integrity
Capacity to communicate and relate well to others
Resourcefulness and initiative
Emotional maturity
Adaptability to new situations
Potential for future contribution in field of study
1 of 2
The selection process for the Endeavour Scholarships and Fellowships are merit-based and referee reports do not guarantee an offer.
Referee reports received after the closing date will not be considered.
Reports returned directly to the department will be treated as confidential and will only be made available to the selection panel and administrators.
Referees may be contacted by the selection panel during the selection process.
Endeavour Referee Report 2016Endeavour Referee Report The selection process for the Endeavour Scholarships and Fellowships are merit-based and referee reports do not guarantee
an offer. Referee reports received after the closing date will not be considered. Reports returned directly to the department will be treated as confidential and will only be made available to the selection
panel and administrators. Referees may be contacted by the selection panel during the selection process.
Title:
First Name: Last Name:
The Endeavour category the applicant is applying for:
Application ID:(If known)
Title:
First Name: Last Name:
Position Held: Organisation:
Phone: + Mobile: (Please include country and area codes)
Email:
Postal AddressAddress Line 1:
Address Line 2:
City/Suburb: State/Province:
Postcode: County:
Relationship to applicant Length of relationship
Years Months
Please evaluate the applicant against the criteria below, in terms of your experience.(Example: Top 5% = Excellent, Top 10% = Very Good, etc.)
Unable toPoor Average Good Very Good Excellent comment
Academic/professional achievement
Leadership qualities
Personal integrity
Capacity to communicate and relate well to others
Resourcefulness and initiative
Emotional maturity
Adaptability to new situations
Potential for future contribution in field of study1 of 2
1. APPLICANT DETAILS
2. REFEREE DETAILS
3. APPLICANT EVALUATION
Mr
Hiro Suzuki
Endeavour Research Fellowship
ERF_PDR_134977_2015
Professor
Tatsuke Yamada
Dean, Department of Engineering Hitotsubashi University
81 323 196 1347 81 323 186 5543
2-1 Naka
Kunitachi
Tokyo Tokyo Prefecture
186-8601 Japan
Current supervisor 2 3
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EXAM
PLE
4. APPLICANT SUITABILITY
Expand on your evaluation and provide reasons why, in your opinion, the applicant should be considered for an EndeavourScholarship or Fellowship. Include in your comments: The applicants suitability to undertake the proposed program at the nominated organisation; and The benefits of the proposed program for the applicants home and host country (maximum 300 words).
In order to successfully complete their proposed program, what further development does the applicant require (maximum 300 words).
Signature Date (dd/mm/yyyy)
* By typing your name into this box, it is considered that you have signed this form and all the information is true and correct(An electronic signature is not required).
Privacy Act 1988
The department and its contractors are bound by the provisions of the Privacy Act 1988 (Privacy Act). Schedule 1 of the Privacy Act outlines the Australian Privacy Principles (APPs), which prescribe the rules for handling personal information, including sensitive information.
Personal information (including sensitive information) provided to the department in relation to applications under the Endeavour Scholarships and Fellowships will only be used by the department for the following purposes (the Purposes): assessing applications, and administering the Endeavour Scholarships and Fellowships.
The department may disclose personal information it holds in relation to applications under the Endeavour Scholarships and Fellowships for the Purposes listed above to the following recipients: Australian Government Departments and agencies, including but not limited to Austrade, the Department of Foreign Affairs and Trade,
the Department of Immigration and Border Protection, the Australian Federal Police and the Department of Prime Minister and Cabinet Australian Parliamentarians and Parliamentary committees, and the departments contractors and agents located in Australia and/or overseas.
By completing and submitting this form, you agree that APP 8.1 will not apply in the event that your Personal Information is disclosed by the department to an individual or party located overseas. You also understand that an individual or party located overseas will not be accountable under the Privacy Act and as a result you will not be able to seek redress under the Privacy Act for any privacy breaches committed by the individual or parties located overseas.
For information on the departments privacy policy, including information on how the department handles personal information, how someone can access or correct personal information, or how to make a complaint, go to www.education.gov.au/privacy or request a copy of the privacy policy from [email protected].
Endeavour Referee Report
I believe Hiro Suzuki should be considered for an Endeavour Research Fellowship because.....
In my experience as Hiro Suzuki's PhD supervisor.....
Tatsuke Yamada 10/06/2016