EVALUATION E-1 To be completed by evaluator (an adult not related to you or any faculty member).
Please take a moment to fill out this survey
Name of Student:
Your name has been given by the student named above, who is applying for a scholarship from the Martha Perritt Lee Scholarship. Your evaluation is important to us in considering this application, so please explain your comments fully. All comments will be used for evaluation purposes only. (Please complete this form (type or print using blue ink). It must be completed and submitted by April 21st. Please enter your name in the space below.
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
What is your relationship to the applicant?
How long have you known this student?
Describe the nature and frequency of your contacts with this student:
Evaluation of social and personal traits Please evaluate the applicant's strengths and weaknesses, in regards to the following characteristics. Attach additional correspondence, to elaborate more about the applicant. Please rate each characteristic listed. Rating is based on 1=low 10=high
Comments (evaluator may attach additional comments if needed) (Information will be kept confidential)
Should be Empty:
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