Faculty Recommendation for Phi Kappa Phi Scholarship

INSTRUCTIONS FOR APPLICANT: Complete all information requested in the top section and give a copy of this form to your faculty endorser. Provide the endorser with a copy of your proposed plan and the following instructions.

Applicant

First name: ______

Last name: ______

UMID: ______

E-mail ______

School/college ______

Expected graduation date: ______

Recommender

First name: ______

Last name: ______

Academic Title: ______

Academic unit: ______

E-mail: ______

Under the provisions of the Family Education Rights and Privacy Act of 1974, you will have access to the information provided unless you have waived such access. Please sign and date below indicating your decision.

I hereby waive by right of access to the information below. OR I do not waive my right of access to information below.

Signature of Applicant ______Date ______

INSTRUCTIONS FOR ENDORSER

The University of Michigan Chapter of the Honor Society of Phi Kappa Phi will award four to six Project Grant awards totaling $20,000 in March 2017 to its Junior, Senior and Graduate/Professional student members. We appreciate your willingness to help us select excellent recipients.

Phi Kappa Phi is the nation's oldest, largest and most selective all-discipline Honor Society. Membership is by invitation only to the top 7.5% of second-term juniors and the top 10% of seniors and graduate students, as determined by the Office of the Registrar. Since membership in this Society signifies national recognition of high academic achievement, membership is noted on the official University of Michigan transcript. Established in 1926, University of Michigan Phi Kappa Phi Chapter 39 is one of the oldest of the Society’s more than 300 chapters in the United States and the Philippines. For more information about our Chapter and the Society, please visit www.umphikappaphi.umich.edu and www.phikappaphi.org.

Notification of privacy: We ask you to maintain the confidentiality of the recommendation by sharing the content only with the individuals directly involved in the decision making process. This information may not become part of the applicant’s permanent record and is not to be re-disclosed. In addition to completing the items below, please attach a letter that comments specifically on the applicant’s strengths and limitations for their proposed Phi Kappa Phi Scholarship project, the viability of the project and the impact it may have for the applicant. Please submit this form and your letter to [email protected] using subject line: PKP Scholarship Letter of Recommendation for [insert applicant’s name]. The form and letter must be received by: March 10, 2017. How long and in what capacity have you known the applicant? ______Please rate the applicant in comparison with other U-M students whom you have known at similar stages.

Exceptional Outstanding Very good Good Next 50% No basis for upper 5% next 15% next 15% next 15% judgment Maturity and poise Motivation/perseverance toward goals Able to work and solve problems independently Ability to express thoughts in speech and writing Potential for future contributions to the public good

Please indicate the strength of your overall endorsement on the scale below:

Highly recommended Recommended Recommended, with Not recommended reservations

Digital signature: Date: