Reading/Writing

Student Name *

Last, First

Student ID# *

Student has applied for a tuition scholarship to study at the ELI in session: *

Please enter session. (example: III16)

Level: *

Attendance: *

Reading/Writing Grade: *

ACADEMIC/EFFORT

Please comment on this student's academic performance and effort. *

LEADERSHIP/INITIATIVE

In what ways is this student an asset to your class and/or the ELI? *

Overall student rating: *

Highly Recommend

Would Recommend

Somewhat Recommend

Would Not Recommend

Teacher's Name: *

Email Address: *

Class: *

• Under no circumstances should this form be returned to the student!
• The committee will be meeting the fifth week of the session.
• It is imperative that this form be submitted to us as soon as possible.
• If this form is not provided, your student will not be considered for a scholarship.

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ACADEMIC/EFFORT

LEADERSHIP/INITIATIVE

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