Scholarship Recommendation Form

You have been asked to complete a recommendation for a student applying for a scholarship from the Kalamazoo Community Foundation. The information you provide will be confidential.This form must be completed and returned to us by March 1. If you are unable to meet the deadline, please notify the applicant so he/she may secure another reference. Recommendations cannot be from a family member.

Please have recommendations submitted as a PDF or Word document.

Name of Recommender
Telephone / -- / Email
Student’s Full Name
Recommender's Signature
I give my permission for the applicant to see this recommendation. Yes No

Instructions

  1. Complete this two-page form. When you are finished and have saved a copy for your files, use the link provided in the email you received from the applicant to upload the completed form to the student's online application.
  2. Keep these questions in mind when filling out the form:
  3. How does this student compare to other college-bound students you have known?
  4. Describe the qualities or characteristics you feel set this student apart.
  5. Are there any special circumstances that would be relevant for a committee to know (e.g. lost a parent as a young child, takes care of younger siblings, etc.)?

Include additional information for:

Derek Jeter Scholarship Recommendation must include a description of the student's promotion of abstinence from alcohol and drugs.

Brady and Patrick Gallagher Memorial Scholarship Recommendation should include reference to the student's abilities in the arts and your subjective evaluation as compared to other students you have known.

Length of time you've known the student
Relationship to student Please choose the option that is most accurate.
Academic Employer Coach Personal Other
I know the student Very well Fairly Well Superficially

Scholarship Recommendation

Please indicate the student's level of achievement in each category.

Superior / Excellent / Average / Fair / Poor / Don't Know
Ability to set realistic goals
Accepts constructive criticism
Accepts responsibility
Caring/Empathetic
Communications skills
Cooperative
Creativity and originality
Demonstrates leadership
Good listener
Motivated
Perseverance
Skilled at problem solving
Trustworthy
Works well independently
Works well with a team
Overall potential
Please use this space to tell us more about the student. If applicable, include if the student deals with or has overcome struggles, obstacles or hardships. If needed, please include no more than one additional page.

Kalamazoo Community Foundation 402 East Michigan Avenue | Kalamazoo, MI 49007-3888 | 269.381.4416 |