Scholarship Reference

Applicant Name

Evaluator Name

Evaluator's Professional Title/Position

Name of Institution

Evaluator's Address

Evaluator's Phone Number

Evaluator's Email

How long and in what capacity have you known the applicant?

Briefly assess the applicant in each of the following categories:

Professional potential

Professional experience and involvement

Potential for success in study

Personal characteristics that are directly related to the applicant's possible selection as an award recipient

How many students have you taught or supervised in the last 5 years?

Where does this applicant rank within those students? Top 10%Top 25%Top 50%Other (fill in below)Have not worked with the applicant in this capacity

If 'other' was selected, specify