Teacher Reference

Student name^*

School^*

Referee name^*

Referee Email^*

Referee position^*

How long have you known the student?^*

Please rate the student's strengths in the following areas (1 = outstanding, 2 = above average, 3 = average, 4 = below average) and comment on any areas of particular strength or concern.

Interest in science, technology, engineering and maths (STEM)^*

Aptitude in science, technology, engineering and maths^*

Self-confidence and willingness to tackle new challenges^*

Ability to work well with others and as part of a team^*

Self-initiative and independence^*

Leadership ability^*

Organisational and time management skills^*

Punctuality^*

Emotional intelligence and social aptitude^*

Curiosity^*

Resilience to changes and challenges^*

How strongly would you recommend this student for the IYM programme (1 = very strongly, 2 = strongly, 3 = recommend, 4 = recommend with some reservations)^*

IYM is especially designed for students with an interest in STEM, but who have not necessarily had the opportunity or confidence to explore STEM previously. Please explain how you think this applicant would benefit from IYM.^*

Will this student need financial support to participate? (The full cost of the programme is $670, plus any travel costs. Sponsorship and scholarships are available to reduce these costs for some students.)^*

Will this student benefit from a full scholarship (i.e. their family is unable to support any costs of the programme)?

Any other comments on the applicant?

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