Australia Awards Scholarships Application

2015 Intake
Referee report
The applicant has named you as a referee in support of an application for an Australia Awards Scholarship supported by the
Australian Government for study in Australia. To assist in the selection process, we would like to receive your views on the
applicants suitability for a Scholarship, in particular on their capabilities and personal qualities, academic competence (includin,
where applicable, their research ability! and potential outcomes.
1. Personal details
Applicants details
"ull name (as it appears in passport!
#mail
Area of research interest
Referees details
"amily name
Given names
$obile no. %ork phone no.
#mail
#mployin oranisation &ame
Town'(ity, (ountry
)osition title Startin date ' '
*enth of time you have known
applicant
*ess than +
months
+,-.
months
-,. years .,/ years
$ore than /
years
0elationship to applicant (e.. direct
supervisor, lecturer, peer, etc!

Authorised official stamp of the
oranisation.
2. Evaluation of applicants capabilities and behaviours
Please evaluate the applicant against the following criteria*
Very good atisfactory !eeds coaching !ot observed
hapes strategic thin"ing (meanin that they1 inspire a sense of
purpose and direction2 focus strateically2 harness information and
opportunities2 and show 3udement, intellience and commonsense!
Achieves results (meanin that they1 build oranisation capability
and responsiveness2 marshal professional e4pertise2 steer and
implement chane and deal with uncertainty2 ensure closure and
deliver on intended results!
#ultivates productive wor"ing relationships (meanin that they1
nurture internal and e4ternal relationships2 facilitate cooperation and
partnerships2 value individual differences and diversity2 and uide,
mentor and develop people!
$isplays personal drive and integrity (meanin that they1
demonstrate professionalism and probity2 commit to action2 display
resilience2 promote and adopt a positive and balanced approach to
work2 and demonstrate self awareness and a commitment to personal
development!
#o%%unicates and negotiates effectively (meanin that they1
communicate clearly2 listen, understand and adapts to audience2 and
neotiates persuasively!
* E&tract fro% the Australian Public ervice #o%%issions '(he integrated leadership syste% ) support tools ) *eadership pathway+ ,ndividual profiles
-. .eneral co%%ents
%hy should the applicant be considered for a Scholarship5

.
/. Acade%ic referee co%%ents ) applicable to Ph$ candidates only
6n the past five years, how many research hiher deree ()h7, $asters! candidates have you worked with5
8our professional knowlede of the applicant is1 9ery detailed 9ery ood Good 6ncomplete
core the following criteria out of 10 (A score of -: means that you reard the applicant as bein in the top .; of all
candidates in each assessment cateory. A score of < indicates that the applicant is in the top /; of all candidates. A score
of = > top -:;2 score of ? > top .:;2 score of @ > top +:;2 score of / > top A:;2 score of A > upper /:;2 score of +
> upper @:;2 score of . > upper ?:;2 score of - > bottom +:;!
core
(a! Research potential: intrinsic research potential (as distinct from e4amination results!.
(b! Creative Ability: ability to develop original ideas/hypotheses, to write original compositions or to
assemble conventional work in some original way

(c! Initiative: ability to embark on new ideas or approaches without prompting
(d! Perseverance: ability to work steadily even in difficult circumstances or where motivation or external
direction is minimal.

(e! Critical thinking: ability to differentiate between sound and irrationally based thinking
(f! Team work: ability to work in a research roup
(! Ability to Communicate: both written and spoken
)lease comment on evidence of the applicants research potential and achievement (such as the outcomes of their research e4perience and
trainin, includin university studies, publications, papers, and other relevant work! and any other comments relevant to the applicants
admission to a )h7 (ma4imum +:: words!.

1. Referees declaration and signature
6 declare that the information in this report is true and correct.
Sinature 7ate ' '
(han" you for assisting the Australian .overn%ent in identifying an outstanding candidate for an Australia Awards
cholarship.
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