Reference Form - ADK Scholarship

www.adkscholarship.org

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2022 Confidential Reference Form

Your name has been given as a reference for the above applicant. The confidential information you provide will help determine scholarship aid for summer camp. Your advice is deeply appreciated.

* Indicates required field

Name of Applicant: *

First

Last

How long have you known the applicant? *

What is your relationship with the applicant? *

How would you rate the applicant in relation to the following:

Relationship with peers: *

Excellent Above Average Average Below Average Poor

School Spirit *

Excellent Above Average Average Below Average Poor

Engagement with Extracurriculars (school, sports, job): *

Excellent Above Average Average Below Average Poor

Academic Motivation: *

Excellent Above Average Average Below Average Poort

Artistic/Creative Talent: *

Excellent Above Average Average Below Average Poor

A short written statement about the student would be helpful. *

Your Name *

First

Last

Email *

Submit

©2021, Adirondack Scholarship Foundation, Inc. - adkscholarship@gmail.com - 802.578.3520