Adult Reference: Exemplary Scholars Fellowship Application

Adult Reference form

Exemplary Scholars Fellowship
Please review the Fellowship Guidlines above. Applicants to the fellowship are required to recieve at least 2 reference from adults outside of Asia's Hope. Your reference will remain private; the applicant will not see how you have responded.
Full Name of program applicant*

First NameLast Name
Your Information
Full Name

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Questions About the Applicant
How many years have you known the applicant?
What is your relationship to the applicant? (e.g. supervisor, teacher, employer, etc.)
The applicant is seeking a grant from our Exemplary Scholar Fund, which was established by Asia’s Hope to develop the next generation of high-capacity leaders. We define a “high-capacity leader” as an individual who not only succeeds in their chosen field, but innovates and leads others in addressing problems or opportunities facing their company or organization and their society at large. Do you believe applicant is likely to become such a leader?

YesNo
If you do believe they are likely to become a high-capacity leader, please explain why you think this is the case.
Please tell us about the applicant’s strengths, special skills, qualifications or personality traits that will help them become a high-capacity leader.
If you have any concerns about the applicant — any academic or intellectual weaknesses, character flaws or breaches of integrity — please write about them here.
What kind of positive benefits would your society see if the applicant succeeded as a high-capacity leader?
Please write anything else you would like us to know about the applicant.
Your Signature*
Date Signed*

MonthDayYear
Date
Should be Empty:

Adult Reference form

Your Information

Questions About the Applicant