Nomination

Important: Nominations must be received by May 15, 2015

To be completed by applicant’s supervisor, community leader or union official (nonrelatives)

Name of applicant: ________________________________________________________________________

How long have you known the applicant? _______________________________________________________

In what capacity? _________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Please indicate in the space below your assessment of the applicant’s aptitude for study as a Bahr Scholar. This scale is a supplement to your narrative comments and need not be used if you are uncomfortable with its format.

Academic/Professional Performance
Poor
Fair
Average
Above
Average
Outstanding
Not Able to Judge
Motivation for college study            
Ability to work independently            
Competency in written communication skills            
Oral communication skills            
Computer skills            
Leadership potential            
Community contributions            

Please indicate in the space below your thoughts on how a Bahr Scholarship will help the applicant to meet his/her personal, professional and academic goals. Use reverse as needed.Please include your name and telephone number.


___________________________________________
Print name

___________________________________________          _________________________________________
Signature                                                                                                          Official position

________________________________________________________________________________________
Address

___________________________________________          _________________________________________
Phone                                                                                                               Date

Please mail to: Amanda Mickel, Center for Distance Learning, Empire State College, 113 West Ave., Saratoga Springs, NY 12866-6048.