2007 COLLEGE LANGUAGE ASSOCIATION

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/employer [ ] 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 the 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

(Please duplicate)