Scholarship Recommendation Form

 

Greater Omaha Chapter

To be completed by an instructor, student advisor, or academic mentor.

Name of scholarship applicant:

Please rate this applicant with respect to the following:

Low
Average
High
Comments
Intellectual Ability
1
2
3
4
5
Responsibility, Dependability
1
2
3
4
5
Academic/Professional Growth Potential
1
2
3
4
5
Leadership
1
2
3
4
5
Ability to Work with Others
1
2
3
4
5
Motivation/Initiative
1
2
3
4
5
Communication Skills
1
2
3
4
5

 

 

 

 

 

 

 

 

What are the applicant's strongest characteristics and abilities?

Why are you recommending this individual for this scholarship?

Additional comments necessary for evaluation of this applicant:

 

Length of time you have known applicant:
In what capacity?
Name:
Title:
Department or Organization:
Preferred contact time:
Date:
Phone:
Email:

 

 

 

 

 

 

 

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