Referee Form

Referee Statement

As a referee you are asked to provide a short referee statement for a person who has applied for selection for the Kellogg Rural Leadership Programme.

The programme is for people in the primary industry sector in New Zealand, who have indicated their desire to undertake leadership development. The nature of the programme, requires individuals to work under pressure and to work closely as a group of colleagues.

Your feedback will help us to gain an external perspective of the applicant, their goals and potential.

Please complete this online form (below), or download the referee form, complete and

Email to Lisa Rogers at


Post to: Kellogg Rural Leadership Programme
c/- Lincoln University
PO Box 85084
Lincoln University 7647, Christchurch

This referee form must be received by:
2018 January programme:     Monday 16 October 2017
2018 June Programme:          Monday 19 March 2018

* Please note a late referee statement may affect consideration of the application.

Kellogg Referee form

Referee page form
Please complete the following questions (up to 500 words maximum). The boxes will expand to accommodate your answers.