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* 1. Applicant Name:

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* 2. I haven known the applicant for:

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* 3. How do you know the applicant?

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* 4. Please rate the following characteristics of this applicant:

  Outstanding More than Satisfactory Average Below Average Not applicable
Academic Performance:
Character/Attitude:
Motivation:
Leadership Qualities:
Community Service:

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* 5. Please provide any information or support that you feel would assist the applicant in being selected as a recipient of a Middlesex Community College Foundation scholarship (a letter of support may copied and pasted in this space):

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* 6. Name and Title of Person Completing Recommendation

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