Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. SEAC Scholarship Reference Form Question Title * 1. Candidate Name OK Question Title * 2. Reference Name OK Question Title * 3. How do you know the candidate? OK Question Title * 4. Please rank the candidate on the following attributes on a scale from 1-3 with 1 being below average and 3 being above average. 1-Below Average 2-Average 3-Above Average Unknown Academic Ability Academic Ability 1-Below Average Academic Ability 2-Average Academic Ability 3-Above Average Academic Ability Unknown Commitment to Career Commitment to Career 1-Below Average Commitment to Career 2-Average Commitment to Career 3-Above Average Commitment to Career Unknown Financial Need Financial Need 1-Below Average Financial Need 2-Average Financial Need 3-Above Average Financial Need Unknown Leadership/Service/Community Involvement Leadership/Service/Community Involvement 1-Below Average Leadership/Service/Community Involvement 2-Average Leadership/Service/Community Involvement 3-Above Average Leadership/Service/Community Involvement Unknown Work Ethic Work Ethic 1-Below Average Work Ethic 2-Average Work Ethic 3-Above Average Work Ethic Unknown OK Question Title * 5. Do you recommend this candidate to receive the SEAC Scholarship? Yes No OK Question Title * 6. Is there anything else you would like to share about the candidate? OK DONE