Nomination
Important: Nominations must be received by May 15, 2011
To be completed by applicant’s supervisor, community leader or union official (nonrelatives)
Name of applicant: ________________________________________________________________________
How long have you known the applicant? _______________________________________________________
In what capacity? _________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Please indicate in the space provided below your assessment of the applicant’s aptitude for study as a Bahr Scholar. This scale is a supplement to your narrative comments and need not be used if you are uncomfortable with its format.
| Academic/Professional Performance |
Poor
|
Fair
|
Average
|
Above
Average |
Outstanding
|
Not Able to Judge
|
| Motivation for college study | ||||||
| Ability to work independently | ||||||
| Competence in written communication skills | ||||||
| Oral communication skills | ||||||
| Computer skills | ||||||
| Leadership potential | ||||||
| Community contributions |
Please indicate in the space provided below your thoughts on how a Bahr Scholarship will help the applicant to meet his/her personal, professional and academic goals. Use reverse as needed. Please include your name and telephone number as indicated below.
___________________________________________
Print Name
___________________________________________ _________________________________________
Signature Official Position
________________________________________________________________________________________
Address
___________________________________________ _________________________________________
Phone Date
Please mail to: Amanda Mickel, Center for Distance Learning, Empire State College, 113 West Avenue, Saratoga Springs, NY 12866-6048.
