MOUNTBATTEN INTERNSHIP PROGRAMME
| Name: | Title: |
| Institution: | Phone (Day): |
| Address: | |
| Capacity in which you have known Candidate: | |
| I may be called about my recommendation      | |
  MOTIVATION |   Exceptional |   Very Good |   Good |   Average | Below Average |   Unknown |
| Seriousness of purpose |   |   |   |   |   |   |
| Interest in other cultures |   |   |   |   |   |   |
| Intellectual curiosity |   |   |   |   |   |   |
| Commitment/dedication |   |   |   |   |   |   |
  RESPONSIBILITY |   Exceptional |   Very Good |   Good |   Average | Below Average |   Unknown |
| Completes tasks as set |   |   |   |   |   |   |
| Uses good judgement |   |   |   |   |   |   |
| Ability to cope with stress |   |   |   |   |   |   |
| Ability to work unsupervised |   |   |   |   |   |   |
| Response to directions |   |   |   |   |   |   |
  RELATING TO OTHERS |   Exceptional |   Very Good |   Good |   Average | Below Average |   Unknown |
| Sensitivity to diversity |   |   |   |   |   |   |
| Tolerance of others |   |   |   |   |   |   |
| Caring, kind, friendly |   |   |   |   |   |   |
| Working with others/team |   |   |   |   |   |   |
| Adjustment to new situations |   |   |   |   |   |   |
  | I recommend the Candidate without reservation |
  | I have some reservations but would still recommend (we would be very grateful if you could indicate what your reservations are) |
  | I have some doubts and advise you to seek additional information |
| I do not believe the Candidate would be suited to the Programme |