MZUMBE UNIVERSITY

DIRECTORATE OF RESEARCH, PUBLICATIONS AND POSTGRADUATE STUDIES

REFERENCE FORM FOR POST-GRADUATE

DEGREE PROGRAMME*

Applicant’s name __________________________________________________________________

Second name or surname as it appears in certificates

Other names ________________________________________________

Has applied to the Mzumbe University for admission to the following programme:-

Ph.D. [ ]
MBA - Corporate Management .. .. .. [ ]
MSc. - Accounting & Finance .. .. .. [ ]
MSc. - Entrepreneurship .. .. .. .. [ ]
MSc. - Marketing Management .. .. .. [ ]
MSc. - Procurement and Supply Chain Management [ ]
MPA - Master of Public Administration .. .. [ ]
MHSM- Master of Health Systems Management .. [ ]
MSc. - Human Resource Management .. .. [ ]
MSc. - Local Government Management .. .. [ ]
MSc - Development Policy .. .. .. [ ]
MSc - Economics .. .. .. .. .. [ ]
LL.M - Constitutional & Administrative Law .. [ ]
LL.M - Commercial Law .. .. .. .. [ ]
LL.M - International Law .. .. .. .. [ ]

Dear Sir/Madam,

The above applicant has provided your name as referee to support his/her application for
the indicated Post-Graduate Programme.

Your response will be an important contribution in assessing the applicant and will be
treated in the strictest confidence.

Thank you for your cooperation.

 (*The referee should be a person who is academically familiar with the applicant,
either as a teacher, research supervisor, or professional associate).

1. How long have you known the candidate and in what capacity?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

2. What do you consider to be the candidate’s main academic strengths?

_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

3. What do you consider to be the candidate’s main academic weaknesses?

_________________________________________________________________
_________________________________________________________________

4. Please evaluate the applicant with respect to each of the following attributes:

Attribute Excellent Very Good Average Below No Information

Good Average
Intellectual/academic
capacity
Oral communication
ability
Writing
communication ability
Ability to work
independently
Perseverance
Creativity

5. What is your opinion of the candidate’s suitability for the programme?

_________________________________________________________________
_________________________________________________________________

6. Is there any other information you feel is relevant for this applicant?
_________________________________________________________________
_________________________________________________________________
(Continue on a separate sheet if necessary)
7. Name: ___________________________________________________________
Position: _________________________________________________________
Signature: ________________________________________________________
Date: ___________________________________________________________
Address: ________________________________________________________
_________________________________________________________
Tel. No.: ____________________ E-Mail:_______________________

(After filling this form kindly enclose it in a sealed envelope, sign the envelope on the cover flap, and
hand it over to the candidate for mailing back to the University with the application form).