Scholarship Reference

Evaluator Information

Your First Name

Your Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Business/Organization

Phone

Email

Applicant Information

Applicant First Name

Applicant Last Name

How long have you known the applicant?

How well do you know the applicant and in what context?

How did you meet the applicant?

Characteristics of Applicant

Spiritual Maturity

Academic/Professional Prowess

	Unusually High	Above Average	Average	Below Average	Unable to Judge
Intellectual Ability
Academic Preparation/knowledge
Motivation/Initiative
Communication Skills
Maturity of Judgement
Leadership
Follow-through
Capacity to handle stress

Interpersonal Skills

	Unusually High	Above Average	Average	Below Average	Unable to Judge
Empathic Ability
Ability to Listen
Open-mindedness, Tolerance for Differences
Emotional Health
Self-care

What is your overall recommendation

Strongly RecommendRecommendRecommend with ReservationsDo not Recommend

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	Unusually High	Above Average	Average	Below Average	Unable to Judge
Spiritual Maturity
Personal Integrity
Commitment to Christ
Dedication to Service to Others