2018 Herb Kohl Excellence Scholarship Program

Scoring Form

Student's Name:                CESA:

District/School:

I.        Activities, Talents, and Service (maximum = 40 points)

        Quantitative Analysis         Qualitative Analysis        Total

        A.        Music and Speech Activities        0        1        2        3        0        1        2        3        4        5        6        7        ____

        B.        Athletic Activities        0        1        2        3        0        1        2        3        4        5        6        7        ____

        C.        Other School/Community Activities        0        1        2        3        0        1        2        3        4        5        6        7        ____

        D.        Work Experience, Hobbies,         0        1        2        3        0        1        2        3        4        5        6        7        ____

        Outside Interests, and Special Talents

        Category total        ____

II.        Essay Question (maximum = 37 points)        Category total        ____

III.        Letters of Recommendation (Public and Private only)(maximum = 18 points)

        Teacher        0        1        2        3        4        5        6        ____

        Counselor or Principal        0        1        2        3        4        5        6        ____

        Community Member or Family Friend        0        1        2        3        4        5        6        ____

         (who is not affiliated with their school district)

             Category total        ____

       Letters of Recommendation (WPA only)(maximum = 18 points)

        Teacher        0        1        2        3        4        5        6        ____

        Community Member        0        1        2        3        4        5        6        ____

        Family Friend        0        1        2        3        4        5        6        ____

         

             Category total        ____

       

IV.        Overall Quality of Application (maximum = 5 points)         Category total        ____

        Applicant's Total Score (maximum = 100 points)         ____

Scorer’s Name ______________________________________