Letter of reference

This form is confidential when complete.

*Fields marked with an asterisk are required.

Applicant Information

Faculty / School: 

Copy and paste the Applicant's "Last Name", "First Name", "REF ID Number" and "Applicant's Requested Degree Program" from the body of the email into the fields below.

Referee Information
Referee Report

(please complete both year and month boxes; use 0 if needed)

Program-Specific Referee Report

Please use the scales below to provide your assessment of the applicant based upon your overall experience as an educator, mentor or supervisor. See the email notification or the headings below to confirm which sections to complete. Where a program is specified, completion of that section is mandatory in order for this reference to be considered complete.








Letter of Reference

Please use the space below to comment on the applicant’s strengths and overall potential for success in their requested program of study at Memorial.*

Recommendation
I  
  this applicant for undergraduate admission to the     program.
Declaration, Signature and Submission of Form

I certify that the information contained in this form is complete and correct to the best of my knowledge. I understand that the University will verify documents submitted in support of an undergraduate application and that the submission of falsified documents is considered a serious offence.

Personal information and Protection of Privacy
The information requested on this form is collected under the authority of the Memorial University Act (RSNL 1990 c M-7) and is needed to process the applicant’s admission application and to determine eligibility for admission to the named program. This information collected on this form will be shared with assessors for admissions purposes only. Please direct any questions regarding the use of the information collected to the registrar’s office at enrolsrv@mun.ca or 864-8260.