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Applicant's name: ________________________________________________________________ |
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| Referee's Name: _________________________________________________________________ | ||||
| Title and Institution: ______________________________________________________________ | ||||
| For Academic Referees Only: Please rate the applicant regarding his or her standing in your course(s). Check the appropriate response. ( ) Upper 5% ( ) Upper 10% ( ) Upper 25% ( ) Lower _____ |
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| In what courses have you been the applicant's instructor? | ||||
For All Referees: Please comment briefly upon the strengths and weaknesses of the applicant.
How long have you known the applicant? ____________________ Based on your knowledge of the applicant's abilities, how would you rate this person as a candidate for a scholarship award? Check the appropriate response.
Referee's signature: ______________________________ Date:_______________ |