Ontario Tech University Scholarship Reference Form

This form is intended to supplement the FIRST Robotics Scholarship, Global Leadership Award and/or Major Scholarship application(s). It needs to be completed by the candidate's referee only, as forms completed by the candidate will not be accepted. Reference forms will be reviewed by the University for authenticity.

Referee Information

Please provide the following information about yourself.
Name Name First Last
Email Address

Institutional or professional email accounts are preferred when possible, however, personal accounts (i.e. Gmail, Yahoo Mail, Hotmail etc.) are acceptable.
Institution/Organization
Current Position
Candidate Information

Please provide the following information about the applicant.
Candidate's Name Candidate's Name First Last
Ontario Tech University Student Number
Must be 9 digits. Currently Entered: 0 digits.
This is a required field. If you do not have this information, please contact the candidate directly for this information.
Candidate's Email Address

The candidate will receive a notification that you have submitted a letter of reference on their behalf. The specific details and contents will remain confidential and will not be shared.
Number of months that the referee has known the candidate:
Capacity in which the referee has known the candidate:
This reference is for the following scholarship competition:
Academic Excellence

Academic record/Scholarships and awards/Competitive awards and/or prizes based on academic excellence.

Score (out of 10)
Must be a number less than or equal to 10.

Rationale of Ranking
Maximum of 350 words allowed.   Currently Entered: 0 words.

Involvement in school community and/or other activities

Demonstrates involvement in meaningful volunteer positions with a significant breadth and depth of contributions either within the school or community.

Score (out of 10)
Must be a number less than or equal to 10.

Rationale of Ranking
Maximum of 350 words allowed.   Currently Entered: 0 words.

Leadership characteristics and interpersonal skills

As demonstrated by the applicant’s past professional and relevant extracurricular interactions and collaborations.

Examples of indicators of personal characteristics and interpersonal skills may include, but are not limited to work experience; leadership experience and project management including organizing conferences and meetings.

Score (out of 10)
Must be a number less than or equal to 10.

Rationale of Ranking
Maximum of 350 words allowed.   Currently Entered: 0 words.

TOTAL SCORE (OUT OF 30)
Must be a number less than or equal to 30.

First Robotics Canada (FRC)

Please complete this additional question for candidates applying to the First Robotics Canada application only.

Please comment on the candidate's experience and commitment to Robotics and Engineering through First Robotics Competitions.
Maximum of 500 words allowed.   Currently Entered: 0 words.

Certification

I hereby certify that all information on this form is complete and signed by the referee named above and is written in my (the referee’s) own words. I understand that evidence to the contrary may lead to the rejection of the candidate's application to Ontario Tech University.

I understand that Ontario Tech University may contact me in order to validate any part of my statement in support of the above mentioned applicant.

By selecting "I agree", this constitutes my electronic signature. *

I hereby certify that all information on this form is complete and signed by the referee named above and is written in my (the referee’s) own words. I understand that evidence to the contrary may lead to the rejection of the candidate's application to Ontario Tech University.

I understand that Ontario Tech University may contact me in order to validate any part of my statement in support of the above mentioned applicant.

By selecting "I agree", this constitutes my electronic signature. * I agree

Signature of Referee

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Ontario Tech University Scholarship Reference Form

Ontario Tech University Scholarship Reference Form

Referee Information

Candidate Information

Academic Excellence

Involvement in school community and/or other activities

Leadership characteristics and interpersonal skills

First Robotics Canada (FRC)

Certification