This completed form and candidate's transcript must be postmarked by April 26, 2011 to be considered for participation in the Texas Southwest Scholarship Program. Submit information to:
Texas Southwest Scholarship Committee
c/o Missionary Pamela Donald
1525 East 29th Street, #1004
Bryan, TX 77802
Name of principal _______________________________________________
(Last, First, Middle)
Are you confident that the student will receive a high school diploma during the current academic year?
_______ Yes __________ No
If no, please explain. _____________________________________________________________________
Student's class rank: __________ How many students in the class? _______________
Student's grade point average ____________ This GPA is based on _______________semesters.
ACT Composite Score _________________ SAT Combined Score _____________
Who is evaluating the student on the following pages?
Name ________________________________ Relationship to the student ___________________________
Principal, Teacher, Counselor
What is the population of the community in which your school is located?
_____ Less than 500 _____ 500-1,499 _____ 1,500-4,999 ______ 5,000-24,999 _____ 25,000-99,999____.Over 100,000
In the following items, please be concise. Use examples to support your comments. Limit your responses to the space provided.
1. What economic or social conditions characterize your community and most of the parents of the children in your school? For example, is your community a university town, a mill town or a farming area?
2. Considering this student's interests, work habits, and life goals, what is your assessment of the chances that the student will be motivated to take advantage of the opportunities available in college? Please give reasons for your assessments.
3. What special features are parts of your school's curriculum (e.g. AP and honor courses, college study, independent study)? Has the student taken advantage of the most challenging opportunities your school has to offer?
4. Has the student given any strong evidence of leadership ability? _____Yes _____No. Please explain the criteria on which you base your judgment and how the student meets those criteria.
5. Describe how this student demonstrates strong character (e.g. integrity, independence, loyalty, patriotism, self-discipline, and willingness to work hard, kindness, and commitment to high ideals and caring for others).
6. Has the student shown exceptional talent or originality in any specific field such as art, music, science, language, or mathematics? If yes, please cite examples.
7. What is the student's principal strength?
8. What is the student's principal weakness?
9. Why would you recommend this student for this scholarship?
Secondary School Record
Note: Please attach a copy of the student's secondary school transcript, including grades 9 through 12. If the transcript is not provided, the candidate will be placed at a disadvantage in relations to other candidates.
__________________ _____________________________________ _______________
Date Evaluator's signature Title
__________________ _____________________________________ __________________
Date Evaluator's signature Title
SCHOOL RECOMMENDATION
TEXAS SOUTHWEST SCHOLARSHIP PROGRAM
