1. MASTER OF NURSING
ADMISSION APPLICATION (SUPPLEMENTARY FORM)
2012/2013
LETTER
OF
REFER
ENCE
CONFIDENTIAL REPORT ON APPLICANT FOR ADMISSION TO A GRADUATE
PROGRAM IN NURSING SCIENCE
Name of applicant:
Please indicate whether the letter is academic or professional reference.
Academic
Professional
Please indicate with an “X” your rating of this applicant in the following categories.
Outstanding
Very
Good
Good Fair
Unable
to Assess
Intellectual capacity x
Ability to
communicate
thoughts/ideas clearly
- orally x
- in writing x
Research potential x
Leadership ability x
Perseverance in pursuing goals x
Problem solving ability x
Clinical proficiency x
Ability to work with others x
Ability to be self-directed x
Originality, Creativity x
Compared to others I have recommended, I would rank this candidate:
Top 2% 3-10% 11-20% 21-30% 31-50% Below 50%
2. MASTER OF NURSING
ADMISSION APPLICATION (SUPPLEMENTARY FORM)
2012/2013
Please comment on the applicant’s academic or work strengths, weaknesses and potential for
completing a graduate program.
To whom it may concern 14th December
2013
I have known Mohd Ariff Atahrim for 8 years in my capacity as teacher and as head of
the Department of Nursing, at Universiti Kebangsaan Malaysia (UKM). Mohd Ariff started
his carrier as one of our Bachelor of Nursing students, as our tutor and as part of our staff
who was actively involved in development of the Nursing Department of UKM. As a
student of Bachelor of Nursing programme, Mohd Ariff shines as the best student of the
final year programme, based on his grades, attendance and class participation and
leadership characteristic. As teacher, I rated Mohd Ariff’s academic performance in my
classroom as superior.
Mohd Ariff has a number of strengths to offer as a student in University of Toronto. Mohd
Ariff is always interested in supporting others, working with community service project and
he is very helpful in organizing and working especially with young adolescence in term of
health.
In conclusion, I would highly recommend Mohd Ariff. If his performance in any indication of
how he had performed in your position, Ariff will be a positive addition to this University.
Although I have moved out to another University, I would still offer myself as a referee to
Mohd Ariff , if you should ever need any additional information about Mohd Ariff, please
feel free to contact me by my email at dr.hamidah@kpjuc.edu.my anytime.
Thank you
Assoc. Prof. Hamidah Hassan
Dean.
School of Nursing
Kumpulan Permodalan Johore Healthcare Universitv College
Nilai. Negri Sembilan
MALAYSIA
How long have you known the applicant? 8 years
In what capacity have you known the applicant? as student and as subbordinate staff
Last Name: HASSAN First Name: HAMIDAH
Position: Dean
Organization:
Kumpulan Permodalan Johore Healthcare Universitv College
Nilai. Negri Sembilan
MALAYSIA
