MSc Clinical Psychology Programme Referee Report Form SMU MSc Clinical Psychology Application Referee Form MSc Clinical Psychology Programme Referee Report Form 2027 CANDIDATE'S DETAILS ID Number * Name * Surname * REFEREE'S DETAILS Title * Please SelectMrMissMrsDrProf Initial(s) * Surname * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Contact Number - Cell * Contact Number - Work Email Address * In what capacity do you know the applicant? Please SelectLecturer (Graduate)Lecturer (Postgraduate)ColleagueEmployerFriendFamily memberCounsellor/TherapistOther In what capacity do you know the applicant? For how long have you known the applicant? * When last did you have contact with the applicant? * How would you rate the applicant in the following areas? (Please tick the appropriate column for both academic and personal characteristics.) * Insufficient knowledge to rate Below Average Average Above Average Outstanding Academic ability * Insufficient knowledge to rate Below Average Average Above Average Outstanding Research ability * Insufficient knowledge to rate Below Average Average Above Average Outstanding Verbal communication * Insufficient knowledge to rate Below Average Average Above Average Outstanding Written communication * Insufficient knowledge to rate Below Average Average Above Average Outstanding Self-knowledge and insight * Insufficient knowledge to rate Below Average Average Above Average Outstanding Confidence * Insufficient knowledge to rate Below Average Average Above Average Outstanding Assertiveness * Insufficient knowledge to rate Below Average Average Above Average Outstanding Emotional stability * Insufficient knowledge to rate Below Average Average Above Average Outstanding Stress tolerance and adapting to new situations * Insufficient knowledge to rate Below Average Average Above Average Outstanding Integrity * Insufficient knowledge to rate Below Average Average Above Average Outstanding Reliability and time management * Insufficient knowledge to rate Below Average Average Above Average Outstanding Initiative and creativity * Insufficient knowledge to rate Below Average Average Above Average Outstanding Sense of humour * Insufficient knowledge to rate Below Average Average Above Average Outstanding Self-reliance * Insufficient knowledge to rate Below Average Average Above Average Outstanding Flexibility and openness to new ideas/critical feedback/opposing views * Insufficient knowledge to rate Below Average Average Above Average Outstanding Co-operativeness and ability to work in a team/group * Insufficient knowledge to rate Below Average Average Above Average Outstanding Empathic ability * Insufficient knowledge to rate Below Average Average Above Average Outstanding Ability to relate to and work with children * Insufficient knowledge to rate Below Average Average Above Average Outstanding Ability to relate to and work with teenagers * Insufficient knowledge to rate Below Average Average Above Average Outstanding Ability to relate to and work with colleagues and peers * Insufficient knowledge to rate Below Average Average Above Average Outstanding Interest and ability to work in community settings/community involvement * Insufficient knowledge to rate Below Average Average Above Average Outstanding Capacity to work with a variety of cultural groups * Insufficient knowledge to rate Below Average Average Above Average Outstanding Openness to diversity and social justice * Insufficient knowledge to rate Below Average Average Above Average Outstanding Comments on your sense of the applicant’s most outstanding academic and interpersonal abilities: * Please comments on your sense of the applicant’s academic and interpersonal capabilities that may need to be further developed prior to, or during training as a clinical psychologist: To what extent do you think this candidate is willing and able to offer professional services to the range of mental health/psychological needs in the South African context? What reservations do you have about the candidate’s training to become a clinical psychologist? Do you have additional comments that you feel would be relevant? Signature * signature keyboard Clear Date AI Submit Δ
