xavier university scholarship recommendation form
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8/9/2019 Xavier University Scholarship Recommendation Form
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Tel. No.: (08822) 723116; (088)8583116 Locals 2054, 2055 Email: [email protected] Website: www.xu.edu.ph
Applicants Name: _______________________________________________________________________ Last Name First Name Middle Name
School: __________________________________________________________________________________
Resdiential Address: ______________________________________________________________________
TO THE APPLICANT: Write your name and address above. Choose two persons
who know you well and have held positions of authority over you in your pres-ent school; e.g., your subject teacher, adviser, or principal. Give a copy of thisform to each of these two persons. Provide each of them with an envelope.
Above Average Below No Chance
average Average to observe
1. Intellectual Ability
2. Communication Skills: Oral
Written
3. Diligence in study habits
4. Ability to work with others
5. Leadership Ability
6. Service: School
Community
7. Integrity
8. Emotional Stability
Ranking- as of rst semester of senior year
a. Number of students in class or section: _____
Ranking of class or section: _______
Top 10: ____________ Upper Third: ________
Middle Third: _______ Lower Third: ________
b. Number of students in whole graduating
class: __________
Ranking in whole graduating class: __________
Top 10: ____________ Upper Third: ________Middle Third: _______ Lower Third: ________
TO THE PERSON RECOMMENDING: The candidate above is an applicant for a Xavier
University Scholarship. The Scholarship Board would appreciate your opinion on the pointsstated below to aid them in evaluating the applicant. Please make your judgement carefully.
After accomplishing this form, please put in an envelope, seal, and sign on the
ap of the envelope before returning it to the applicant. Unsealed and unsigned
recommendation will not be accepted. Many thanks for your cooperation.
Please check one:
___ I strongly recommend the candidate for a scholarship.
___ I recommend the candidate for a scholarship.
___ I recommend, with reservation, the candidate for scholarship.
___ I do not recommend teh candidate for a scholarship.
Name of Recommending Person (Please Print)
______________________________ __________________Name Signature
______________________________ __________________Position Contact Number
____________________Date
Residential