Referee For Lecturer Application Form

REFEREE REPORT FORM - CONTRACT STAFF Please type in BLOCK LETTERS

Please forward this form to: The Registrar Registry, (Human Resources Management and Administration Section) Universiti Sains Malaysia, 11800 USM, Pulau Pinang, Malaysia SECTION 1 : To be completed by the applicant Position Applied For Department/Office Name of Applicant Name of Referee

Relationship to Applicant

Position / Work Location

SECTION 2 : To be completed by the referee 1. How long and in what capacity have you known the applicant?

2. Please discuss the applicant’s ability and suitability for the position he/she is applying for.

3. Please provide your views on the applicant’s qualities in the following areas: (Use additional sheet if necessary) 3.1 Academic Resourcefulness

3.2 Leadership Qualities

3.3 Willingness to Cooperate

3.4 Personal Qualities

4. Based on the above, would you recommend the applicant to the position he/she is applying for?

Thank you very much for your cooperation.

Referee’s Signature

Date