Eligibility and full scholarship details are available on the Harrisburg Semester program page. Applicant's Information Name of Applicant Academic Ability The above named applicant for the Harrisburg Semester Program has given your name as a reference. The Program would appreciate your cooperation in providing the following information regarding the applicant's qualifications. References should be acquainted with applicant's academic ability. I have known the applicant for (Enter a number for years) Characteristics Check each line at the appropriate point on the scale to show the applicant’s rating on the characteristic concerned. Use your own student body and recent graduates as a reference group. If the applicant is an employee use other employees with similar backgrounds as a reference group. Questions High Average Low Cannot Judge Academic achievement High Average Low Cannot Judge Academic motivation High Average Low Cannot Judge Future academic potential High Average Low Cannot Judge Leadership/Influence High Average Low Cannot Judge Concern for Others High Average Low Cannot Judge Emotional Maturity High Average Low Cannot Judge Written Expression High Average Low Cannot Judge Oral Expression High Average Low Cannot Judge Creativity High Average Low Cannot Judge Respect for differences High Average Low Cannot Judge Please explain high or low values given My recommendation for this applicant Very Strong Strong Average Below Average Recommend with reservations Please elaborate on this rating in the comments section, below. Please use this space to make comments concerning this applicant’s strengths and weaknesses Recommender's Information Name Title Email Address Telephone Institution Institution Address Street City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Release Notice By submission of this form, I hereby certify that the information within this recommendation is true to the best of my knowledge. I agree Check here to indicate your agreement to the above statement. CAPTCHA Submit