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Reference Request Form

Thank you for providing a reference, please complete the form below. Once you have submitted the form a copy of your reference will be sent to the Admissions Office.

Please email admissions@worc.ac.uk if you have any questions.

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About you
Relationship to the applicant *

Job title *

Phone number (in case we need to contact you) *

Address Line 1
Address Line 2
City / Town
Postcode

Are you happy for the reference to be shared with the applicant? *

Please comment on the following areas

The applicant's academic performance and potential for academic success in higher education

Why the applicant is suitable for their chosen course

Any personal qualities which will benefit them at university and any wider interests and extra-curricular activities

Any extenuating circumstances

Reference Request\Confirmation *

All fields marked with a * must have a value in order to complete this form