Recommendation Form

* 1. Student's name:

To the person making the recommendation:
The student named above is an applicant for the Thoms Family Above & Beyond Scholarship. The $5000 scholarship is to be used at any accredited two or four year school of further education. The Selection Committee is looking for a Rock Island High School Junior who is willing to go "Above & Beyond", who shows unusual creative, organizational or leadership ablilities. Grades and test scores are not condisdered. The applicant must propose a project he or she wants to accomplish. The proposed project is evaluated on originality, organization and reasonable expectation of success.

The Committee welcomes your evaluation of this student's personal characteristic, ability, achievements, motivation and potential. Please give consderabale thought to your recommendation and be as specific as possible, citing instances that support your evaluation, as it could be a deciding factor in the student's selection as a Thoms Family Above & Beyond Scholarship winner. Consider the following points as you answer the questions below.

+ What are the students's strenghs? Are there special circumstances or obstacles that the student has had to overcome? Does the student take advantage of opportunities?

+ How does the student demonstrate character? Does the student have any special talents?
********* YOU MUST click the "Done" button at the end of the survey in order to submit your recommendation **********

* 2. Contact information: (required for recommendation to valid).
Your information will be kept confidential and will not be sold or used on any email lists.)

* 3. Relationship to Student

* 4. Approximate time you have known the candidate:

* 5. What evidence have you seen that this student goes "Above & Beyond?"

* 6. What attributes does this student possess that
suggest the description of a student that goes "Above & Beyond"?

* 7. Please write any comments about this student that would
be helpful to the Selection Committee.

Thank you for helping us (and your candidate) by recommending this student and giving them the support of our community. Please click on "Done" to submit your recommendation.