West
Valley College/ Native American Scholarship
c/o
Michelle Reed
Social
Sciences Division
14000
Fruitvale Avenue
Saratoga,
CA 95070-5698
Student's Name: ______________________________________________
TO THE RECOMMENDER:
Please be specific regarding your knowledge of the applicant. The following information provides a rating chart. Please feel free to include additional information that you feel would be relevant. Please send your completed recommendation form to:
Your recommendation form needs to be received by Friday, Sept. 27
Between what dates has your contact with the student occurred? __________________________
In what capacity has this been? ______________________________________________________
How well do you consider you personally know the applicant?
Very Well _____ Fairly Well _____ Not Very Well _____ Slightly _____When rating the student, please use the point system below:
PointsABILITY ____________
0 Inadequate Knowledge
2 Marginal
4 Average
6 Good
8 Excellent
10 Outstanding
ACADEMIC ACHIEVEMENT ____________
LEADERSHIP ____________
SCHOOL SERVICE ____________
COMMUNITY SERVICE ____________
EMPLOYMENT RECORD ____________
OVERALL RATING
____________
Comments: Please provide in this section all pertinent information you
have regarding the applicant, including character traits and qualities.
Signature of Recommender __________________________________________
Date _________________
Print Name _____________________________________________
Position _______________________________________________
Address ________________________________________________
Telephone # ______________________