Kellogg-Schulich EMBA Reference Letter Step 1 of 7 0% Applicants to the Kellogg-Schulich Executive MBA Program are required to provide a Letter of Reference from two individuals. Self-employed candidates or entrepreneurs will need to provide a third letter of reference. Each recommendation should be from an individual who can comment on the applicant’s professional qualifications, academic promise and suitability for graduate-level studies. Peers or co-workers and direct reports are not eligible referrers. Additionally, personal references are not eligible. We thank you for agreeing to provide a Letter of Reference as we realize this exercise requires time and effort. Please answer the questions in as specific and candid manner as possible, particularly noting maturity, purposefulness and initiative. Your comments will not be disclosed to the applicant and will be available to those involved in the admissions process. Please note that we may contact you should we have any questions or need additional information. ConfidentialApplicant Information First Middle Last Referrer Information First Last Position/Title Organization Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Your honest assessment of the applicant will be an important factor in the admission decision.How long have you known the applicant?Years Months Under what circumstances have you known the applicant?What do you consider the applicant's most outstanding talents or characteristics?What are the applicant’s chief areas for improvement?How will graduate education in management help the applicant further his or her career? In comparison with other peers in the company with similar experience in the same field, how would you rate the applicant with respect to the following qualities:Academic potential Outstanding Excellent Good Average Below Average Unable to rank Leadership potential Outstanding Excellent Good Average Below Average Unable to rank Ability to work with others Outstanding Excellent Good Average Below Average Unable to rank Maturity Outstanding Excellent Good Average Below Average Unable to rank Motivation / Initiative Outstanding Excellent Good Average Below Average Unable to rank Analytical skills Outstanding Excellent Good Average Below Average Unable to rank Oral communication Outstanding Excellent Good Average Below Average Unable to rank Written communication Outstanding Excellent Good Average Below Average Unable to rank Planning skills Outstanding Excellent Good Average Below Average Unable to rank Work ethic / Integrity Outstanding Excellent Good Average Below Average Unable to rank Please comment on the above ratings, making any additional statements concerning the applicant’s record, potential, personal qualities and leadership abilities. Would you recommend this applicant be admitted to the Kellogg-Schulich Executive MBA Program. I strongly recommend I recommend I recommend with some reservations I do not recommend May we call you at work regarding this applicant? Yes No DeclarationAgreement* I hereby certify that all statements in this reference letter are correct. I understand that any misrepresentation of the information will render the recommendation inadmissible and could result in the cancellation of the candidate' admission to the Kellogg-Schulich Executive MBA Program. Print your full name* Date* Month Day Year