Scholarship Reference Form

Student Name*

First Last

Reference Name*

First Last

Reference Phone #*

Reference Email*

Relationship to Student:*

How long have you known the student?*

Please help us evaluate the student based on the criteria/characteristics listed below by rating them in the following areas. Please compare this student with the entirety of his class and peer group.

Demonstrated Leadership

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Academic Effort & Work Ethic

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Interaction with Peers

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Emotional Maturity

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Faith Formation/Relationship with God

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Initiative

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Community Awareness & Involvement

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Talent

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Participation in School Activities

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Commitment to Service

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Setting & Accomplishing Goals

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Positive Attitude

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Academic Performance

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Communication Skills

Outstanding (Top 1%)
Excellent (Top 10%)
Above Average (Top 25%)
Average (Top 50%)
Below Average
Not Able to Rate

Is there anything that you would like to add or share as to why they would be an outstanding selection for this scholarship?

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Scholarship Reference Form