Evaluation sheet with Recommendation
■ This form should be completed by a supervisor, head of department, or similar official at the last university attended as a student.
Name of the applicant
Last name ( Surname ) First name Middle name
■ On the following scales, please rate the applicant in relation to others in the same year in your department/university.
■ The rating should reflect the applicant’s academic record and other objective data.
Top 2 % Top 5 % Top l0 % Top 20 % Middle
50 %
Truly Excellent Very Good Good
Exceptional Average
Academic Performance
□ □ □ □ □
Intellectual Potential
□ □ □ □ □
Creativity and Originality
□ □ □ □ □
Maturity
□ □ □ □ □
Ability to work with others
□ □ □ □ □
Please continue on the reverse side.
■ Instructions :
Please write candidly and analytically about the applicant’s qualifications and potential to carry out advanced study in the field
specified. Highlighting both strong and weak points will be helpful in describing such attributes as motivation, intellect, maturity,
and other relevant characteristics. Specific examples are far more useful than generalizations. If you prefer to write a letter
instead, please attach it to this form.
In summary, my recommendation for this applicant is:
□ very strong □ strong □ average □ below
average
Name of recommender:
Position or title: □ professor □ associate professor □ lecturer
□ assistant professor
Institution:
E-mail:
■ Please provide the E-mail address of the domain issued by your Institution.
Signature: Date
■ Submission Instructions
Please complete this form with handwritten signature and send it to the applicant. The applicant will submit
the form to the Science Tokyo Admissions Division via the online submission system.