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WIRSA Student Development Scholarship Recommendation Form

Applicant Information
Name
Institution
Opportunity Applying For
Date of Opportunity

Supervisor/Instructor Information
Name
Institution
Title
Department
Phone
E-mail

Perceived Abilities
Based on your observations and/or knowledge of applicant, please rate him/her on the following
qualities:
Ability to work with peers
Dependability/reliability
Promptness
Enthusiasm/motivation
Work ethic
Honesty
Time management skills
Oral communication skills
Organizational skills
Conflict resolution skills
Attitude
Professionalism

Additional Information

Please describe the nature and extent of your interactions and experiences with this applicant.

Please provide any additional information you feel would assist the evaluation of this applicant.
Thank You
Thank you for completing this recommendation form for the WIRSA Student Development
Scholarship.  If you have any questions, please contact Mo McAlpine, WIRSA Scholarship
Chair, at 608-785-8698 or mcalpine.maur@uwlax.edu.  Form must be SUBMITTED NO LATER
than 30 days prior to event.

 

WIRSA Student Development Scholarship Recommendation