A student provided you with this form because they are applying for a scholarship in dramatic media at Texas Lutheran University, and has requested that you provide a reference. Please help us in our evaluations by providing your feedback. We appreciate your candor and willingness to reply.
Please complete this form by May 1.
*Student Applicant's Name
Reference Contact Information
*Name
*Relationship to Student
*Years known
Profession
Work Address (street)
City
State
Zip
*Work phone
*Email
Evaluation
Please select the number on the scale which best describes the student's performance in each category.
1 representing the low end (poor) and 5 representing the high end (excellent).
Performance
*Quality of work

*Quantity of work

Work Habits and Personal Qualities
*Organization

*Ability to learn

*Engagement

*Leadership/Initiative

*Ability to collaborate

*Judgement

*Responsibility

*Creativity

*Attendance

*Punctuality

*Attitude

*Cooperation

*Appearance/Decorum

Additional comments/observations
*Signed
*Date

 
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Contact TLU Dramatic Media
For more information about TLU Dramatic Media and available scholarships, please contact:
David Legore
Chair, Dramatic Media Department
Texas Lutheran University
1000 W. Court St.
Seguin, TX 78155 
Fax: 830-372-6362 
Phone: 830-372-6021