us-can recommendation form

Recommendation for MMMF Applicant Academic year 2015-16 Deadline for submission: January 15, 2016 Last Name of Applicant (as it appears on passport): __________ First Name of Applicant (as it appears on passport): ___________ Please provide the following information in your recommendation. Today’s date: Reference Information Full Name and Title: Street Address: City, State/Province, Zip Code: Country: Phone number: Professional email: 1. How long have you known the applicant (in months or years)? 2. In what capacity do you know the applicant? (i.e. teacher or supervisor) 3. Using the following five criteria - Intellectual Capacity - Seriousness and Perseverance - Leadership Potential - Maturity - Initiative, assess the applicant's strengths and special talents, involvement in the problems and needs of women /or children in her country and her commitment to return to her country

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Recommendation for MMMF ApplicantAcademic year 2015-16

Deadline for submission: January 15, 2016

Last Name of Applicant (as it appears on passport): __________

First Name of Applicant (as it appears on passport): ___________

Please provide the following information in your recommendation.

Today’s date: Reference Information

Full Name and Title: Street Address: City, State/Province, Zip Code: Country: Phone number: Professional email:

1. How long have you known the applicant (in months or years)?

2. In what capacity do you know the applicant? (i.e. teacher or supervisor)

3. Using the following five criteria - Intellectual Capacity- Seriousness and Perseverance- Leadership Potential- Maturity- Initiative,

assess the applicant's strengths and special talents, involvement in the problems andneeds of women /or children in her country and her commitment to return to her country(200 words or less).

Please save the form as a PDF file which includes the last name of applicant as the file name, and send by email to [email protected], from your professional email address. The deadline is January 15, 2016.

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