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MA in Clinical Psychology - Referee Report Form
This referee report form has been sent to you to complete for a candidate who has applied for the MA in Clinical Psychology programme at Rhodes University. Please refer to the email that contained the link to this google form for the name and surname of the applicant who requested that you complete this referee form. Please complete the form as honestly as possible. All responses will be kept confidential. Your input will greatly assist us in our selection process.
We require that this completed as soon as possible and not later then 5 pm on the 10 June 2024.
Thank you.
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* Indicates required question
Email
*
Your email
Applicant's name and Surname
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Your answer
Your Name and Surname
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Your answer
Occupation
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Your answer
Position
*
Your answer
Contact telephone number
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Your answer
In what capacity have you known the applicant?
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Lecturer (undergraduate)
Lecturer (postgraduate)
Colleague
Employer
Research supervisor
Other:
Required
How long have you known the applicant for? Since....
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MM
/
DD
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YYYY
When was your last contact with the applicant?
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MM
/
DD
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YYYY
Does this applicant have the personal characteristics suitable for training as a clinical psychologist? (Answer this question for each of the qualities below)
Trustworthiness
Integrity
Reliability
Emotional Stability
Sensitivity
Assertiveness
Self-reliance
Maturity
Altruism
Adaptability
Ability to be non-judgemental
Capacity to work across cultural groups
Yes
No
Mostly
Unable to comment
Trustworthiness
Integrity
Reliability
Emotional Stability
Sensitivity
Assertiveness
Self-reliance
Maturity
Altruism
Adaptability
Ability to be non-judgemental
Capacity to work across cultural groups
Yes
No
Mostly
Unable to comment
Please tell us more about the candidate in relation to at least two of the personal qualities mentioned above, whether you consider them to be strengths and/or weaknesses.
*
Your answer
Does this applicant have the academic characteristics suitable for training as a clinical psychologist?
Problem solving skills
Expressive ability - verbal
Expressive ability - written
Research skills
Critical thinking ability
Hard working
Good time management skills
Logical reasoning
Clarity of thought
Yes
No
Mostly
Unable to comment
Problem solving skills
Expressive ability - verbal
Expressive ability - written
Research skills
Critical thinking ability
Hard working
Good time management skills
Logical reasoning
Clarity of thought
Yes
No
Mostly
Unable to comment
Please tell us more about the candidate in relation to at least two of the academic characteristics mentioned above, whether you consider them to be strengths and/or weaknesses.
*
Your answer
How do you rate this candidate's overall suitability for training as a clinical psychologist?
*
Excellent
Good
Average
Below average
Poor
Please provide reasons for your rating above
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Your answer
A copy of your responses will be emailed to the address you provided.
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