Scholarship Recommendation Form

2018 Council Scholarship Recommendation Form

The information requested on this recommendation will be treated confidentially and is for the exclusive use of the Cleveland Council of Black Colleges Alumni Association in awarding scholarships to students, who have been accepted and are planning on attending or continuing their education at an accredited Historically Black College or University for the 2018-2019 school year. We sincerely appreciate your thoughtfulness and thoroughness in providing this information. All applicants must have a recommendation to be considered for a scholarship.

Scholarship Applicant

* Indicates required field

Student Name *

First

Last

HBCU *

High School *

Recommendation Contact Information

Recommender Name *

First

Last

Recommender Address *

Line 1

Line 2

City

State

Zip Code

Country

School/Organization *

Recommender Email *

Recommender Number *

Recommender Relationship *

If Other Specify: *

Statement of Support

Please give your reason for believing this applicant is deserving of a scholarship. *

Upload Documents/Files

Recommendation Letter (Optional) *

Max file size: 20MB

Evaluation

Please evaluate the applicant according to the following rating scale.

INTEGRITY - TRUSTWORTHY; TRUTHFUL; SINCERE; LOYAL; GUIDED BY HIGH PERSONAL AND MORAL PRINCIPLES *

LEADERSHIP - INFLUENCES, STIMULATES, GUIDES AND CAN DIRECT OTHERS EFFECTIVELY IN GROUP EFFORTS *

INITIATIVE - SELF-MOTIVATED, CREATIVE, ASSUMES RESPONSIBILITY VOLUNTARILY WHEN APPROPRIATE *

MANAGEMENT - ORGANIZES WORK EFFICIENTLY AND EFFECTIVELY, PLANS FOR WISE USE OF TIME, GOAL ORIENTED *

MATURITY - WELL BALANCED, WEIGHS PERSONAL DECISIONS AND ACTIONS CAREFULLY AND ACCEPTS RESPONSIBILITY FOR THEM, ACKNOWLEDGES OWN LIMITATIONS AND RECOGNIZES WHEN HELP IS NEEDED *

SOCIAL ATTRIBUTES - CONGENIAL, COURTEOUS, KIND, CARING, WELL-LIKED, ENTHUSIASTIC *

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