Student Information

Student Name*

Recommender's Information

Recommender's Name*
For verification purposes
For verification purposes

Section I - Student Competencies

Please rate the student on the competencies below on a scale of 1 to 5 where 1 is the lowest possible rating, 3 is average and 5 is the best possible rating.

Intellectual Ability*
Work Ethic*
Adaptability*
Maturity*
Ability to Work Collaboratively*
Motivation*

Section II: Additional Information about Student Competencies

If you scored the student less than a 5 on any of the competencies listed above, please explain.

Section III - Student-specific Skills

Section IV - Additional Student Information

Please provide any additional information you feel the scholarship committee should consider when reviewing this student’s application. Please upload an additional document under the “Upload Document” section if necessary.

Additional Comments
If you prefer to upload a letter that addresses sections 2-5 you may do so here. Section 1 must still be completed.
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