Urban Scholars Application Reference Form
Applicant's Name:
You are a:
Teacher
Counselor
Advisor
(Check one)
Your Name:
Title/Position:
Telephone Number:
Best day to call:
Best times to call:
Email Address:
Question 1:
What has been your view of the student's dedication to acquiring education?
Question 2:
What is your view of the student's ability to persist in a degreed program in college?
Question 3:
Are there any ways the applicant distinguishes him/herself from other students? Please give examples.
Question 4:
Please describe the applicant in terms of non-academic accomplishments (i.e. character, values, concern for others, leadership, social maturity, relationships with peers).
Question 5:
How will the Appalachian Scholars Award Program impact the student's life and goals?
Office for Multicultural Student Access and Retention
Lindley Hall 052
Athens, Ohio 45701
Tel:
(740) 593-9376
Fax:
(740) 593-2920
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Ohio University
All Rights Reserved
