Civil Society Leadership Award 2016-2017 Open Society Scholarship Programs RECOMMENDATION FORM INSTRUCTIONS Applicants for the Civil Society Leadership Awards are required to submit two recommendations from professors or employers. Your candid, honest responses on the recommendation form provided below are very important for our selection process and will ensure that successful candidates are placed in programs that best fit their academic and professional goals. Please take the time to provide detailed answers. You may continue answers on additional sheets of paper, if more space is needed. We appreciate your taking the time to assist this applicant. Recommenders should note the following guidelines: Recommendations must be signed and include the name, address, and telephone number of the person providing the recommendation. Recommendations written in a language other than English must be accompanied by an English translation. Applicants may not certify their own translations. Recommendations from individuals outside academia (employers, etc.) should write or mark “unable to judge” for those questions that relate to purely academic issues. Recommendations may be completed electronically and submitted to cslareferences@infoscholar.org If sending via email is not possible, recommendation letters should be returned to the applicant in signed, sealed envelopes in time for the applicant to return them with his/her full application to our offices by program deadline of September 15, 2015. Recommendations that are not returned to the applicant should be mailed to the appropriate office at one of the addresses below. CSLA OSF Scholarship Programs 224 West 57th Street New York, NY 10019, USA Email: csla@infoscholar.org CSLA OSF Scholarship Programs Millbank Tower, 7th Floor 21-24 Millbank, London SW1P 4QP, UK Email: csla@infoscholar.org Local administrative offices - contact address: Azerbaijan Baku Education Information Center 40 J. Jabbarli Street, Caspian Business Center Baku AZ1065 Tel/Fax: (994 12) 4482845/46 Contact: Bahar Haji-zada: bhajizada@beic.az Belarus Educational Advising Center European Humanities University Tauro g. 12 LT-10101 Vilnius Lithuania Tel: 00370 5 274 0622 Contact: Kevin Reiling: advising@ehu.lt Turkmenistan + Uzbekistan Educational Center "Bilim Central Asia" 158/160 Kunaev St., apt.7, Almaty 050010, Kazakhstan Tel.: +7 (727) 261 15 55 Fax: +7 (727) 261 15 55 Contact: Leila Yedygenova: lyedygenova@bilim.kz Civil Society Leadership Award 2016-2017 Open Society Scholarship Programs RECOMMENDATION FORM Applicant’s Personal Information Given Name: Family Name: Recommendation To be completed by a lecturer, professor, employer, or supervisor who is familiar with the applicant. Please complete the following form. Your candid, honest response will assist in selecting successful candidates and placing them in programs that best meet their personal and academic goals. Your Name and Title (please print): Academic Affiliation or Place of Employment: Work Telephone: E-mail: Signature: Date: In what capacity and for how long, have you known the applicant? Please list the courses you have taught the applicant, if applicable. Course Title Year 2 Applicant’s Grade Please comment on the applicant's ability to contribute to the development of their academic field and of civil society in their country. How do you think the applicant will benefit from a graduate program outside his / her home country? 3 Overall Evaluation Compared to other people you have taught or employed, how would you rank the applicant in the following terms? No Basis Poor Average Very Good Excellent Leadership Motivation Creative/Independent thinking Effective communication skills English Language Skills Respect for Others Academic Success Overall, how would you rate this applicant? Poor Average Very good Excellent One of the top students/employees I have encountered No basis If you have completed recommendation forms for other applicants for the Civil Society Leadership Awards, how does this applicant compare to them? Poor Average Very good Excellent One of the top students/employees I have encountered No basis 4 Please use this space for any additional comments you would like to make about the applicant and add additional pages, if desired. END OF FORM 5