NATIONAL ASSOCIATION OF JUNIOR AUXILIARIES, INC.
SCHOLARSHIP RECOMMENDATION FORM

To the Applicant:  Please type or print.

Applicant's Name:____________________________________Proposed Field of Study:____________________________

Check statement that is applicable:  _____ I hereby voluntarily waive and relinquish access to this confidential evaluation.
  _____ I retain my right of access to this evaluation.

_________________________________________________________________
Date   Signature                                    
To the Evaluator:

The applicant has been asked to secure evaluations from instructors, employers, and/or others who know him/her and his/her capabilities.

Check your response below to some general observations about the applicant and attach a letter referring to the applicant's strong and weak points. This is most useful to the National Scholarship Committee when making its decision. Since the purpose of the NAJA Scholarship is to help graduate students who will work DIRECTLY with children with special and particular needs, please comment on this applicant's goals in this respect.

Scholarship Recommendation Form must be mailed directly to
National Association of Junior Auxiliaries, Inc., P. 0. Box 1873, Greenville, MS 38702-1873 by February 1.

How long have you known the applicant?__________________________________________________________________________

In what capacity have you known the applicant?_____________________________________________________________________

GENERAL IMPRESSION

Outstanding

Very
Good

Good

Average

Below Average

Poor

No Basis to Evaluate

Ability to communicate with others              
Motivation to work with special needs children              
Work Habits              
Sense of responsibility; Reliability              
Personality              
Poise; Emotional Stability; Maturity              
A Letter of Reccomendation must be attached.  If not, your application is considered INCOMPLETE! 
RECOMMENDATION RATING:

     box.bmp (102 bytes) Enthusiastic
     box.bmp (102 bytes) With Confidence
     box.bmp (102 bytes) Recommended
     box.bmp (102 bytes) Recommended with Reservation
     box.bmp (102 bytes) Not Recommended		 _______________________________________
Signature                                                                  Date
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Title and Department
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Institution
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