Community Scholars Recommendation Form

Recommendation on behalf of:

First Name:    Last Name:


Thank you for your cooperation in filling out and returning this form.  The applicant will not be considered for participation in the program until all references have been received.

The Community Scholars Program promotes community service as a means of preparing qualified university students for their roles as responsible citizens and future community leaders. This program requires the scholars to develop special projects and collaborate with faculty, staff, and community agencies and organizations throughout the state to address a need or issue in a local community. If chosen to participate, the student is provided up to $3,000 per year in financial assistance for their college education. In commenting on this applicant, please keep our purposes and participation requirements in mind.

Thank you.

Approximately how long have you known the applicant?  Years

How well do you feel you know the applicant?   Casually       Well     Very Well   

In what capacity do you know the applicant?

Leadership Abilities:

Please comment on and describe any leadership abilities you have observed in the applicant that you feel would qualify them to participate in the Community Scholars program.

Community Service and Civic Engagement:
Please comment on and describe any community service and/or civic engagement activities that you have observed the applicant participate in. In your opinion, what are the applicant's strengths related to community service and/or civic engagement? What do you feel are areas of challenge for the applicant?

Interaction with Others:
How well does the applicant interact with others?

Academic Abilities:
Due to the requirements of this program, an individual's academic performance may be impacted. Please comment on how well you feel the applicant can balance the program requirements with those of college-level academics.

Additional Comments:
Please write any additional comments which might be helpful in evaluating this applicant.

If we have additional questions, may we call you?   Yes    No   

If yes, please give your phone number including area code: 

Best time to reach you (include AM/PM in your response): 
Thank you!

Recommender's Name: 
Title:      Date: 

Thank you for your assistance.
This form must be submitted on or before Wednesday, September 23, 2015 by 5 PM. (We will not take any late recommendations.)
If you have any questions, please call the Community Scholars Program Office 864-656-0205.