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
*Relationship to Student
*Years known
Work Address (street)
*Work phone
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).
*Quality of work

*Quantity of work

Work Habits and Personal Qualities

*Ability to learn



*Ability to collaborate









Additional comments/observations

To verify that you are not an automated system, please enter the characters in the image.
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