First Name *

Last Name *

Email *

Phone *

Job Title *

First Name of Scholarship Applicant *

Last Name of Scholarship Applicant *

Connection to Applicant *
- Select Option I am a current teacher/administrator from the applicant's school. I am NOT connected with the applicant's high school.

Please choose the number which best describes your rating of the applicant's characteristics as compared to other young adults with whom you have worked.

Problem Solving Skills *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Leadership *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Creativity *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Motivation *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Ability to Relate to Peers *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Ability to Work Independently *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (top 5%)

Critical Thinking Abilities *
- Select Option 1 (Below 50%) 2 (Top 50%) 3 (Top 25%) 4 (Top 10%) 5 (Top 5%)

Will you be uploading your comments? (If no, please type any comments in the text box) *
- Select Option Yes No

Please upload your comments relative to the student's candidacy for this scholarship. Your comments are seriously considered in the review process. *
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Please provide comments relative to the student's candidacy for this scholarship in the text area below. Your comments are seriously considered in the review process. *