MOTHERS MEMORIAL SCHOLARSHIP (SCHOLASTIC REFERENCE)

Please submit by June 1st.

To the School Official:
The student who has sent you this link for the reference form is applying for a scholarship provided by the Indiana Ladies Ministries. Your prompt reply is deeply appreciated and will be held in strictest confidence.

Student Name

*

School

*

School Address

*

School Official Name (First and Last Name)

*

Title or Position

*

Please evaluate the student in the following areas:

Emotional stability

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Moral character

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Respect for authority

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Personal motivation

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Consideration for others

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Personal responsibility

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Dependability

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Productivity

Please select one option.

Top 10% Above Average Average Below Average Inadequate Occasion to Observe

Description

Please submit by June 1st.

Please Fix the Following

Close