Excel! Research Scholars Program Applicant

This Confidential Recommendation Form should be filled out and sent directly to the Excel! Research Scholars Program Office. This recommendation will not be shared with the prospective student. Please feel free to contact the Excel! Research Scholars office if you have any questions. 651-962-5960 or [email protected].

*This is a writable form. Feel free to type directly into the gray shaded areas.

Excel! Research Scholars Program Applicant Applicant Name:

Recommender’s Information Name of Recommender: Title: Department: Name of your college or university: Email Address: Telephone Number:

How long have you known the student?

What classes has the student taken from you?

Have you mentored this student in the past?

Please provide an assessment of this applicant’s academic strengths and challenges. Being as specific as possible, please provide examples of the skills and characteristics that you believe speak to this person’s potential as a budding scholar who may strongly consider pursuing graduate study in the future. Please comment on the student’s motivation/initiative, dependability, and integrity. Last, please provide any additional information you might have that will help the committee make a healthy admission decision about this applicant. Thank you.

Recommender’s Signature: Date:

By signing this form, you acknowledge that the signature provided is not a forgery. You also agree to allow the Excel! Research Scholars Program to obtain further information as needed by program guidelines pertaining to the student’s academic success. Should your information be falsely reported you understand that the student’s application will no longer be considered, and if already admitted the student could be subject to dismissal. This information will be kept confidential.

Please print, sign, and send this form to the Excel! Research Scholars Program Office University of St. Thomas AQU 319 2115 Summit Avenue, St. Paul, MN 55105 [email protected]