ESLAC Scholarship Reference / Recommendation Form

ESLAC Scholarship Reference / Recommendation Form
Name of Applicant*

First NameLast Name
Please select the scholarship this application is for*
Applicant Instruction: This form is to be provided to a teacher(s), minister, youth leader, community service leader or employer who knows you well and who can speak to the attributes listed below on your behalf in consideration for this award. Relatives cannot serve as recommenders.

Recommender Instruction: Thank you for your assistance and for your willingness to recommend the applicant listed above as we evaluate her for educational financial assistance. Please attest to the following which will assist us in our selection process based on your experience and knowledge of the applicant.
Please rate the applicant on the following characteristics, according to the scale listed from 1-5, 5 being the highest ranking. If you are unable to speak to a characteristic or skill, please note by selecting n/a.
Demonstrated willingness to work toward future goals*

54321n/a
Demonstrated sense of responsibility*

54321n/a
Enthusiasm for achieving success*

54321n/a
Honesty and integrity*

54321n/a
Ability to get along with others*

54321n/a
Emotional maturity*

54321n/a
Leadership skills*

54321n/a
Contributions to school*

54321n/a
Contributions to community*

54321n/a
Ability to succeed in chosen field*

54321n/a
Responsibility and care in completing academic tasks*

54321n/a
Written and oral communication skills*

54321n/a
Please print any additional comments in support of the applicant here:
How long have you known the applicant?
In what capacity?
Position
Contact Phone Number*
Please enter a valid phone number.
Recommender Name*

First NameLast Name
Recommender Signature*

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Date*

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Date
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