STEM Scholars Recommendation Request Form

STEM Scholars Recommendation Request Form

Please use this form to submit a letter of recommendation for your student applying the Franklin Institute's STEM Scholars Program.
Student Name:*

First NameLast Name
Recommendor Name:*

First NameLast Name
School Affliation:
Recommender Job Title:*
Email Address:*
example@example.com
Phone Number:
Coursework/Experience with Student:*
Student gets along well with peers and staff members. *

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5

1 is Strongly Disagree, 5 is Strongly Agree
Student asks questions and shows interest in STEM topics. *

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5

1 is Strongly disagree, 5 is Strongly Agree
Student uses creative thinking when working on tasks or challenges.*

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5

1 is Strongly Disagree, 5 is Strongly Agtee
Student regularly contributes to class discussion. *

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5

1 is Strongly Disagree, 5 is Strongly Agree
Student takes initiative in and/or outside of the classroom. *

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5

1 is Strongly Disagree, 5 is Strongly Agree
Student demonstrates critical thinking when working on solving problems. *

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1 is Strongly Disagree, 5 is Strongly Agree
Student completes assignments in a timely manner. *

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1 is Strongly Disagree, 5 is Strongly Agree
Student is motivated to perform well academically. *

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1 is Strongly Disagree, 5 is Strongly Agree
Student shows perseverance when faced with challenges.*

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1 is Strongly Disagree, 5 is Strongly Agree
Student uses feedback to improve their work.*

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1 is Strongly Disagree, 5 is Strongly Agree
Please describe how this student collaborates with others in the classroom. *
How does this student approach leadership? Please provide an example. *
To what extent does the student demonstrate integrity — such as honesty, accountability, and doing what’s right, even when it's difficult or goes unseen?*
Please share any other aspects both academically/socially concerning this student that will aid us in the selection process. *
Recommendor Signature:*

Clear
Today's Date:*

MonthDayYear
Date
Should be Empty: