C200 Scholarship Faculty/Employer Recommendation Survey

C200 is a pioneering organization of the most senior women executives' in successful private and public companies from around the World who manage more than $300 billion in annual revenues and assets. The primary mission of C200 and its Foundation is to foster, celebrate, and advance women's leadership in business. Our membership organization offers current leaders access to unique programming plus an unparalleled professional and personal network of their peers. The C200 Foundation also helps to ensure that women will continue to take evermore significant and visible leadership roles in business worldwide.

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* 1. Student's First Name

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* 2. Student's Last Name

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* 3. Your First Name

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* 4. Your Last Name

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* 5. How long have you known this student?

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* 6. In what capacity do you know the student?

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* 7. Please comment briefly on the student's academic achievements. You do not need to attach a separate letter to this form but may do so if you wish. (Max 500 words)

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* 8. If you wish to attach a separate letter to this form please do so here.

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* 9. How would you rate the student's general abilities and potential in relation to others you have known at similar academic stages?

	Below Average	Average	Above Average	Outstanding	Unable to Asses
Academic Performance	Academic Performance Below Average	Academic Performance Average	Academic Performance Above Average	Academic Performance Outstanding	Academic Performance Unable to Asses
Intellectual Curiosity	Intellectual Curiosity Below Average	Intellectual Curiosity Average	Intellectual Curiosity Above Average	Intellectual Curiosity Outstanding	Intellectual Curiosity Unable to Asses
Seriousness of Purpose	Seriousness of Purpose Below Average	Seriousness of Purpose Average	Seriousness of Purpose Above Average	Seriousness of Purpose Outstanding	Seriousness of Purpose Unable to Asses
Self-reliance and Independence	Self-reliance and Independence Below Average	Self-reliance and Independence Average	Self-reliance and Independence Above Average	Self-reliance and Independence Outstanding	Self-reliance and Independence Unable to Asses
Open-mindedness and/or Ability to Adapt to New Situations	Open-mindedness and/or Ability to Adapt to New Situations Below Average	Open-mindedness and/or Ability to Adapt to New Situations Average	Open-mindedness and/or Ability to Adapt to New Situations Above Average	Open-mindedness and/or Ability to Adapt to New Situations Outstanding	Open-mindedness and/or Ability to Adapt to New Situations Unable to Asses
Emotional Stability and Maturity	Emotional Stability and Maturity Below Average	Emotional Stability and Maturity Average	Emotional Stability and Maturity Above Average	Emotional Stability and Maturity Outstanding	Emotional Stability and Maturity Unable to Asses