Name of Applicant:

The applicant named above is applying to the Scientific Leadership Scholars Program at Humboldt State University and will major in either Computer Science, Environmental Resources Engineering or in Mathematics.

Ratings:

Using the 10-point scale below, please rate this applicant on the characteristics listed.
Poor (1-3) • Fair (4-5) • Good (6-7) • Excellent (8-9) • Outstanding (10) • Not able to judge (NA)

Academic Performance:

Creativity:

Maturity:

Intellectual Potential:

Character:

Motivation for University Study:

Short Answer Questions:

Please note that this information may be made available to the applicant.

Please state how long and in what capacity you have known this individual.

What are your personal impressions of the candidate’s academic or professional merit and leadership potential?

Please comment on his or her quality of previous work and potential for academic success.

Recommender Information

Name:

Address:

Position or Title:

Institution or Company:

Phone Number:

Email address: