Community member RECOMMENDATION FORM

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The Prince William - Stafford Chapter of the National Pan-Hellenic Council, Inc., (PWSC-NPHC) is proud to announce the 4th Annual Jermaine Jackson, Ph.D. scholarship award. The purpose of the scholarship is to offer financial assistance to deserving high school graduating seniors based off their academic excellence, contributions to their school and community and financial need. Please submit by Saturday, March 24, 2024.

Student’s Name *

Community member's Name *

Please rate the students Enthusiasm *

Please rate the students Initiative *

Please rate the students Creativity *

Please rate the students Ability to follow instructions *

Please rate the students Self-Confidence *

Please rate the students Oral Presentation Skills *

Please rate the students Leadership *

Please rate the students Respect of others *

Please rate the students Ability to assume responsibility *

Please rate the students Maturity Level (emotional/social) *

How long have you known the applicant? *

Relationship to applicant? *

Applicant’s greatest strengths / Comments *

Your Recommendation *

Strongly Recommend

Recommend

Not Recommended

Preferred Email *

Preferred phone number *

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