Applicant's Name ____________________________________________________________
School ____________________________________________________________________
Grade _____________________________________________________________________
GPA _____________________________________________________________________
Mark the appropriate box:
| Category | Poor | Fair | Good | Above Average | Outstanding | No Basis for Judgment |
|---|---|---|---|---|---|---|
Academic Ability |
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Academic Achievement |
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Oral Communication |
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Written Communication |
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Personal Initiative |
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Creativity |
What special qualities would this student bring to the workshop?
Please comment on the applicant's extracurricular activities, scholastic achievement, and any other relevant information.
Your Name (please print) _______________________________________________________
Signature ______________________________________________ Date __________________