2019 MPEF Scholarships
Teacher Recommendation Form - This is a BLIND evaluation process. Please do not mention student's name.
Student's SSN (Last 4-digits ONLY) *
My recommendation is for the following scholarship(s): *
Student Characteristics *
Below Average
Good (Above Average)
Excellent (Top 10% this year)
Outstanding (top %5 this year)
Exceptional (one of the top ever encountered)
I have insufficient basis for judgment
Academic motivation
Creativity & original thinking
Concern for others
Work Ethic
Leadership Ability
Ability to interact with different groups
Positive impact on others
Respect given by faculty
Respect given by peers
Independence & initiative
Character & integrity
Reaction to criticism
Reaction to setback
Sense of responsibility
PLEASE OMIT STUDENTS NAME - Academic/Intellectual: How would you distinguish this student's academic performance from that of the other students? How would you characterize this student's level of intellectual curiosity and approach to learning? *
Interpersonal Qualities: How has this student made an impact in the school or community? *
Other information: Are there any other personal circumstances, unusual accomplishments, or other circumstances you think might improve our understanding of the student? *
Briefly describe your relationship and length of time you have know the student. *
Name (Teacher) *
Title, Position and Years of Experience *
Phone Number *
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