Request edit access
2022 Casa Hispana Scholarship Application Recommendation Form



You are the eyes and ears of the scholarship judges. Please tells us what you have seen or heard from the student that reflects the following:  
* Grades/Academic Achievement,
* Ability to Overcome Hardship and Adversity,
* Financial Need,
* Leadership/Volunteerism/ Extra-curricular activities

[You will receive a copy of the responses sent to you via email]
Sign in to Google to save your progress. Learn more
Email *
Applicant Information
Student's Name *
Name of the student/ applicant for whom you are submitting a recommendation
Reference Information
Your Name *
Please enter your full name
Your Phone Number *
Your Relationship to the Applicant *
Criteria Elements
Grades/ Academic Achievement (score) *
The applicant has demonstrated a high level of academic achievement both in the grades attained and the coursework taken.
Grades/ Academic Achievement (comment) *
if answered "Not Observable" above, please enter "N/A" below.
Ability to Overcome Hardship and Adversity (score) *
Casa Hispana not only values grades/ academic achievement, but also values the student's desire to improve and achieve even when confronted with challenges.
Ability to Overcome Hardship and Adversity (comment) *
if answered "Not Observable" above, please enter "N/A" below.
Financial Need (score) *
Financial Need (comment) *
if answered "Not Observable" above, please enter "N/A" below.
Leadership/Volunteerism/ Extra-curricular activities (score) *
Leadership/Volunteerism/ Extra-curricular activities (comment) *
if answered "Not Observable" above, please enter "N/A" below.
For employers only (managers, supervisors, etc.): Performance on the Job indicates that the student will be successful
Clear selection
For employers only (managers, supervisors, etc.): Performance on the Job (comment).
If answered "Not Observable" above, please enter "N/A" below.
Recommendation
Other comments, observations *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy