PMAC's 2023 Scholarship Application Student Recommendation Form

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Reference Letter Submission

Presented by the Phoenix Metropolitan Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated
Reference Letters must be submitted by the scholarship deadline: February 28, 2023. Incomplete submissions will make students ineligible for the scholarship. If you have any problems with this form, please email scholarship@dstphoenixalumnae.org.
Applicant's Name *
Please include the applicant's first and last name.
Name*
Please include your first and last name.
Capacity in which known?*
(Community, Academic, Professionals;)
Title/Position*
Phone Number*

Area CodePhone Number
Email*
Assessment

Please assess the student on the following criteria based on your direct experience with the student.
Known applicant one year or less or limited interaction with student;Aware of applicant’s academic achievements, community service, or professional performance.Known applicant one year or more; Multiple opportunities to assess academic achievements, community service, or professional performance.Known applicant for extended period; Extensive knowledge of applicant’s academic achievements, community service, or professional performance.
Applicant has contributed leadership to a project or team.Applicant held a significant leadership role on a project or team.Applicant has developed a project or initiative and/or frequently leads teams or peers.
Applicant adapts to challenges or adversity.Applicant notably adapts to challenges or adversity through novel or creative contributions.Applicant helps others adapt to challenges or adversity by contributing ideas or service.
Applicant positively influences peers and community.Applicant positively influences peers through specific and intentional acts (i.e. mentoring, volunteering).Applicant positively influences peers and/or community by leading programs or initiatives;Applicant encourages others to participate in programs or initiatives.
Applicant exhibits good moral character and personal integrity.Applicant consistently demonstrates good moral character and personal integrity;Knowledge of specific instances where character and integrity were evaluated and positively assessed.Applicant consistently demonstrates good moral character and personal integrity;Applicant has been entrusted with significant responsibilities that rely on character and integrity.
Optional: Provide any additional comments that we should know about the applicant. (100 word limit)

0/100
I declare that all information provided is correct and understand that false, inaccurate or misleading information can and will result in the student's withdrawal from scholarship application.
Signature*

Clear
Digital Signature

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Reference Letter Submission

Assessment