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Study Abroad Program Confidential Reference Form 
Dortmund, Germany; Oviedo, Spain; Lille, France; Puerto Rico; Mexico & El Salvador

Applicant's Name:    Semester/Year:
Professor's Name
& Title: 		 Student's Desired Program:
Department: Date:
Institution: 

The student named above is applying for the Canisius College Study Abroad Program.  We would appreciate your assessment of the applicant’s attributes with which you are familiar.

1. Basis and extend of your acquaintance with the applicant: 

2. Academic Attributes
Please rate the student in each of the following areas:  
Competence in major or specialization
Academic interest and motivation
Capacity for independent study
Resourcefulness
Reliability
Integrity

3. Non-Academic Attributes 
Please rate the student in each of the following areas:
Level of maturity
Ability to adapt to new or unstructured circumstances
Self-confidence and self-esteem
Ability to relate well to others
Emotional stablility
Open-mindedness
Integrity

4. Please rate the student in each of the following areas to indicate your assessment of the applicant’s present ability in the program’s language of instruction:
Reading in his/her field
Understanding lectures
Composition
Conversation

5. Please check the statement below which most accurately describes your the applicant's language ability:

 Should have no difficulty

 Should be able to manage adequately after a short period of adjustment abroad

 Should be able to manage adequately after some additional formal language training

 Appears to require considerable training in the language before the necessary competence would be achieved.

6. If you were a resident director of an overseas academic program, would you be eager, willing, or reluctant to have the applicant participate?

7. Please state frankly your opinion of this candidate's chances for success (both academic and non-academic) in a study abroad program, weighing both strong and weak points.

8. Please add in the space below any comments you feel would aid in understanding the candidate's qualifications.

Please submit this form by March 1 for the fall program and October 1 for the spring program.