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2023 Michael K. Falligant Scholarship Recommendation Form
Please complete your recommendation by September 1, 2023.
*
1.
Please provide the following information.
(Required.)
Student
Institution:
Date:
Name of person providing recommendation:
Title:
Email Address:
Phone Number:
*
2.
Please rate the student on each of the following areas of personal competence.
(Required.)
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Leadership
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Intellectual Promise
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Creative, Original Thought
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Integrity
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Confidence
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Independence
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Motivation
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Productive Class Discussion
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Maturity
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
Reaction to Setbacks
No Basis
Below Average
Average
Top 25%
Top 10%
Top 5%
*
3.
Please choose one.
(Required.)
Highly recommended
Recommended
Recommended with reservations
Not recommended
4.
Additional comments about this applicant:
Please send any additional letters of recommendation via email to Careers@crisiscenterbham.org, please place Michael K. Falligant Scholarship in the subject line, or by U.S. Mail to the Crisis Center, 3620 8th Ave S, Suite 110, Birmingham, AL 35222.
