2019 Michael K. Falligant Scholarship Recommendation Form Question Title * 1. Please answer the following questions Student Institution Date Recommendation Completed By Title Email Address Phone Number Question Title * 2. Please rate the student on each of the following areas of personal competence. No Basis Below Average Average Top 25% Top 10% Top 5% Leadership Leadership No Basis Leadership Below Average Leadership Average Leadership Top 25% Leadership Top 10% Leadership Top 5% Intellectual Promise Intellectual Promise No Basis Intellectual Promise Below Average Intellectual Promise Average Intellectual Promise Top 25% Intellectual Promise Top 10% Intellectual Promise Top 5% Creative, Original Thought Creative, Original Thought No Basis Creative, Original Thought Below Average Creative, Original Thought Average Creative, Original Thought Top 25% Creative, Original Thought Top 10% Creative, Original Thought Top 5% Integrity Integrity No Basis Integrity Below Average Integrity Average Integrity Top 25% Integrity Top 10% Integrity Top 5% Confidence Confidence No Basis Confidence Below Average Confidence Average Confidence Top 25% Confidence Top 10% Confidence Top 5% Independence Independence No Basis Independence Below Average Independence Average Independence Top 25% Independence Top 10% Independence Top 5% Motivation Motivation No Basis Motivation Below Average Motivation Average Motivation Top 25% Motivation Top 10% Motivation Top 5% Productive Class Discussion Productive Class Discussion No Basis Productive Class Discussion Below Average Productive Class Discussion Average Productive Class Discussion Top 25% Productive Class Discussion Top 10% Productive Class Discussion Top 5% Maturity Maturity No Basis Maturity Below Average Maturity Average Maturity Top 25% Maturity Top 10% Maturity Top 5% Reaction to Setbacks Reaction to Setbacks No Basis Reaction to Setbacks Below Average Reaction to Setbacks Average Reaction to Setbacks Top 25% Reaction to Setbacks Top 10% Reaction to Setbacks Top 5% Question Title * 3. Please Check One Highly Recommended Recommended Recommended with Reservation Not Recommended Question Title * 4. Additional Comments Done