Academic Reference Form

I have known the applicant as a:
Please answer in months
  No Basis for Judgement Below Average Average Excellent (top 4-10%) Outstanding (top 1-3%)
Academic Motivation and Intellecutual Ability:
Self-reliance and Independence:
Emotional Stability and Maturity:
Ability of Expression in Speech and Writing:
Fexibility and Ability to Adjust to International Study and Service Abroad: