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> TRU Home > Faculty of Science > Departments > Veterinary Technology > Veterinary Technology On-Site Diploma Program
(formerly Animal Health Technology) > Admission Requirements > Reference Form

Reference Form

Veterinary Technology Diploma program

The following information will be held in confidence and only used by the TRU VTEC Selections Committee.

Applicant information

Name of applicant

TRU Student ID

Program Delivery

Campus Open Learning (Online)

Reference information

Name of reference

Email

Phone number

Position/Title

Company/School

Evaluation

Please rate the applicant according to each of the following criteria:

	Excellent	Very Good	Satisfactory	Unsatisfactory	No Basis for Judgement
Reliability
Integrity
Initiative
Verbal communication
Written communication
Leadership
Decisive in a crisis
Problem solving ability
Organizational ability
Work ethic
Willingness to take direction
Interpersonal skills
Positive self-image
Potential for Vet Tech career success

How long have you known the applicant?

In what capacity?

Based on your knowledge of the applicant, do you recommend the applicant for admission to the Veterinary Technology Program at Thompson Rivers University?

Yes, with NO reservations Yes, with reservations No

What would you consider the applicant's strongest assets?

What do you consider to be the applicant’s weaknesses or limitations?

Please note any contributions you are aware of that the applicant has made to his/her school, community or workplace.

Please comment on the applicants experience with animals.

If need be, please elaborate on previous comments or provide additional ones:

Contact Information