Page 3- Recommendation Form
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Instructions for the applicant
* To be completed by an advisor, counselor, instructor, or work supervisor who knows you well.
* Recommendation forms from two separate individuals must be submitted.
* Fill in the last four digits of your home telephone number before you give this to the appraiser.

Last four digits of student's home telephone number for identification: ___________

To the appraiser - we review all applications "blind" (no names) and appreciate your help.

1. Please fill out the short evaluation section and sign below. Your signature on this form is required.
2. Attach a short evalution of the student.. Please do not refer to the applicant by name. You may use a previously prepared recommendation if any reference to the student’s name is blocked out.
3. Enclose the form in an envelope, sign across the seal, and return to the student. Please do not mail this form directly to the Foundation; it must arrive with the student's application materials.
   

A. On a scale of 1-5 (1=poor, 5=excellent) please rate the following:

Applicant's achievements as a reflection of his/her potential

Applicant's self-motivation

Applicant's commitment to school and/or community

Applicant's readiness to succeed in college

Signature:

________________