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FATA Scholarship Recommendation Form
This form will be utilized in lieu of a letter or email to recommend an applicant to the FATA Scholarship Award. Your responses will be kept confidential.
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* Indicates required question
Your Full Name
*
Your answer
Your Phone Number
*
Your answer
Your Email
*
Your answer
Name of Applicant
*
Your answer
Relationship to Applicant
Your answer
Length of time you have known the applicant:
Your answer
How strongly do you recommend this applicant overall?
Strongly Recommend
Recommend
Only Somewhat Recommend
Do Not Recommend
Clear selection
To what degree does the Applicant demonstrate knowledge of and adherence to the AATA's ethics code?
Poorly
1
2
3
4
5
Strongly
Clear selection
To what degree does the Applicant demonstrate multicultural competence?
Poorly
1
2
3
4
5
Strongly
Clear selection
To what degree does the Applicant demonstrate clinical knowledge and application of clinical skills in treatment?
Poorly
1
2
3
4
5
Strongly
Clear selection
Does the Applicant actively participate in the promotion and further development of the field of art therapy?
Yes
No
Other:
What sets apart this Applicant and makes them deserving of the Scholarship?
Your answer
Signature: by typing your full name here, you are signing this application.
Your answer
Thank you for your support of the Applicant!
From the FATA Scholarship Committee
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