2005 Study Abroad Scholarship Reference Form
I. Knowledge of Applicant:
How long have you known the applicant?
From: _________________ To: _____________________
In what capacity have you known the applicant?
| [ ] Instructor | [ ] Academic advisor |
| [ ] Job supervisor | [ ] other (please specify)______________________ |
II. Please comment on the applicant's relationship with other people:
[ ] Works very
well with others
[ ] Student is
able to lead or follow as the occasion demands
[ ] Student has
an average relationship with others
[ ] Does not interact
well with others
III. Please comment on the applicant's emotional maturity:
[ ] Adapts to stress
and changing conditions well
[ ] Handles stress
and changing conditions fairly well
[ ] May
not handle stress and changing conditions well
IV. Please comment on the applicant's success as a study abroad scholar:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
(For additional comments please use other side)
V. Overall Recommendation:
[ ] I recommend
the applicant without reservation
[ ] I have some
reservations, but I feel the applicant would benefit greatly from the program
[ ] I do not recommend
the candidate
______________________________________
___________________________________
Name (please print)
Position
______________________________________
____________________________________
Signature
Date
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Study Abroad Scholarship Application Form
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Study Abroad Scholarship Checklist