UNIVERSITY OF THE PHILIPPINES

College of Education
Diliman, Quezon City


OFFICE OF THE COLLEGE SECRETARY

REFERENCE REPORT

The applicant should complete this:

_________________________________________________________ is applying to the College of Education,
(Last Name) (First Name) (Middle Name)
University of the Philippines, for admission to graduate study in the field of

____________________________________________________________________________________________
(Please specify field of study)
Name of reference (please print) __________________________________________________________________
Position, Profession or Occupation and Professional Address ___________________________________________
____________________________________________________________________________________________
(Give this form to the person from whom this is requested. Request the concerned person to seal this form in an
envelope. Applicant must personally submit this form along with the other requirements to the Office of the College
Secretary, College of Education, University of the Philippines, Diliman, Quezon City)
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The reference is requested to complete this section:

Your objective estimate of the applicants personality and aptitude for graduate work and his career potential
will be appreciated. Comparing the applicant with others of his age and position, please check appropriate columns
below.
Students
Characteristics
Exceptional
(Top 5%)
Outstanding
(Within
Upper 10%)
Superior
(Upper
25%)
Average
(Upper Half
but not
Upper 25%)
Below
Average
(Lower half)
No basis for
judgment
Intellectual Ability



Breadth of General
Knowledge

Ability to Express Self in
Writing

Ability to Express Self
Orally


Perseverance
Emotional Maturity

Originality

Professional Attitudes

Potential Research


How long have you known the applicant? ____________________________________________________________
In what capacity? _______________________________________________________________________________

USE REVERSE SIDE FOR ADDITIONAL REMARKS, if necessary.

__________________________ ___________________________
Date Signature