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Nebraska Veterinary Medical Association Scholarship Committee Recommendation Form
Share the link to this form with individuals who are asked to recommend scholarship applicants. Individuals filling out the form should provide their email addresses immediately below to receive a record copy of the information entered in this form.

All information will be held in strictest confidence by the Foundation.

After you click the "submit" button at the end of the form, you will be able to come back and edit the application if you wish. However, all of the questions marked with red asterisks require an answer before the "submit" button will work. If you wish to save a partially filled-out application to be completed later, enter any character as a "placeholder" response for questions requiring answers (those marked with red asterisks). You may later edit those "placeholder" responses.

When you click "submit," you will receive an email with a copy of your application. Prominent at the top of this emailed form is a button labeled "EDIT RESPONSE." Clicking the "EDIT RESPONSE" button is how you get back to your partially completed application form.

Email address *
Today's Date *
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Evaluation Terms
In the following section, you will be asked to evaluate the applicant on eight traits. Use this guide to aid your understanding of what we are trying to illuminate:

Intellectual Ability: Comprehensive, logical mind, common sense, perception, independent thinking.

Motivation: Interest in the profession, seriousness dedication.

Initiative: Enterprising, resourceful, self-reliant, independent.

Perseverance: Industry, application, diligence, completes assignments.

Emotional Stability: Maturity, dependable, poised, adaptable, self-controlled.

Honesty and Integrity: Responsible, high principles, ethical, conscientious, respectful.

Ability to Work with Others: Attitude toward & cooperation with instructors, students, associates; considerate, friendly.

Ability to Listen and Follow Directions: Alert, questions for better understanding.

Leadership: Leadership style, commitment, accountability, fairness, caring, citizenship.

Please evaluate this applicant on the following: *
Intellectual Ability
Emotional Stability
Honesty and Integrity
Ability to Work With Others
Ability to Listen and Follow Directions
Please add any comments or observations concerning this applicant’s character or abilities which you feel may assist in
consideration for selection.
Type your comments below:
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Overall Rating *
If you have reservations or if you do not recommend, please enter your explanation below:
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Your Name: *
Your answer
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Address, City, State ZIP: *
Your answer
Submitting Your Recommendation
Once you complete this form and click the "submit" button, the form will be digitally transmitted to the Committee. Thank you for supporting our scholarship effort.
A copy of your responses will be emailed to the address you provided.
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