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* 1. Please provide the following information.

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* 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
Intellectual Promise
Creative, Original Thought
Integrity
Confidence
Independence
Motivation
Productive Class Discussion
Maturity
Reaction to Setbacks

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* 3. Please choose one.

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* 4. Additional comments about this applicant:

Please send your letter of recommendation via email to the attention of Janet Simpson-Templin jtemplin@crisiscenterbham.org, or by U.S. Mail to the Crisis Center, 3600 8th Ave S, Suite 501, Birmingham, AL 35222.

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