Minerva Fellowship Reference Form
An applicant for the Minerva Fellowship Program has selected you to serve as a reference for their application. Please take a few moments to complete the following brief reference form.

We would be appreciative if you could please submit the form by Friday, January 10, 2020.

The Minerva Fellowship Program offers Union graduates a unique opportunity to partner with international organizations, participate in community engagement, and address global challenges in innovative and meaningful ways. Minerva Fellows partake in a 9-month placement abroad in a developing country, typically working with a non-profit organization or a social enterprise, and then return to Union during the spring term where they share their experiences with Union’s campus and wider community.

Serving as a Minerva Fellow in a developing country involves many exciting opportunities, yet also encompasses numerous challenges. It is not for everyone. Therefore, we would appreciate your honest assessment of the applicant's qualifications and suitability for the Fellowship.

Thank you for your assistance in helping us to evaluate applicants.
Email address *
Applicant's Full Name *
Name of Referee *
How long have you known the applicant? *
In what capacity have you known the applicant? *
Using the evaluation scale below, how would you rank this applicant in comparison to other students you have taught or worked with? *
Superior
Excellent
Fair
Poor
Unable to Observe
Adaptability/Flexibility
Critical Thinking
Independence
Emotional Stability
Originality/Creativity
Perseverance
Self-Motivation
Ability to Problem Solve
Ability to Work with Others
Communication Skills
Interpersonal Skills
Organizational Skills
Community Engagement
Cross-Cultural Competency (ability to appreciate, understand, and engage with the diversity of human cultures)
Please check one of the following to summarize your overall recommendation of the applicant. *
Required
If applicable, please describe any reservations you have about the applicant's ability to serve as a Minerva Fellow.
Please feel free to include any additional comments about the candidate that you would like us to consider.
Thank you for your assistance!
A copy of your responses will be emailed to the address you provided.
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