COVER SHEET
CALVIN COLLEGE OFF-CAMPUS PROGRAMS
BRADLEY C. MILLER SCHOLARSHIP APPLICATION
DUE APRIL 23 in Off-Campus Programs Office, HH 322
Amount: $1,400
Requirements:
 entering sophomore or junior year, preference may be given to junior year students.
 3.0 minimum cumulative GPA
 applying to a non-western Calvin program outside the U.S. (Honduras, China, Ghana,
Hungary, Peru).
Name: ____________________________________________ Calvin ID: ____________________________
E-Mail:____________________________ Class level this spring: ______________
Major: ________________________ Minor: ____________________
Program for which you have applied or will apply: ______________________________________
Recommenders (name, e-mail, department; must be a course instructor or academic advisor)
____________________________________________________________________________________
_____________________________________________________________________________________
Attach the following to this cover sheet:
1. A typed 200-300 word essay explaining:
 Your reasons for wishing to study abroad, including how study abroad is related to your career goals
 How a scholarship will affect your ability to study abroad
2. A description of your participation in campus life (clubs, musical groups, Student Senate, etc.). Indicate which
activities are voluntary and which earn either credit or a stipend or both.
3. Attach a list of your current financial aid from KnightVision and explain any special circumstances which may
cause an adjustment in your aid level for next Fall (for example, lower parental income, additional outside
scholarship, sibling starting at Calvin).
Request two recommendations (see form attached) and an unofficial copy of your transcript be sent to the
Off-Campus Programs Office (HH 322) by April 23, 2012.
Important note: It is your responsibility to see that both recommendations are completed and submitted by
the due date. (Ask your recommenders to notify you when their recommendations have been submitted.)
Applications without both recommendations will not be considered.
OFF-CAMPUS PROGRAMS
SCHOLARSHIP RECOMMENDATION FORM
PART 1 - TO BE COMPLETED BY THE STUDENT
Candidate’s Name: ______________________________ E-mail:___________________
Cum. GPA: ____________ Off-Campus Program: _______________________________
According to law, a student may waive the right to examine any document in his or her file.
Failure to waive will not be prejudicial to the student. By signing this statement you waive all
rights of access to this document.
Student’s Signature _____________________________________ Date ____________
Part II – The Recommendation: If you prefer to write a letter, please include the information
requested below to the extent possible. Note that a statement has been included in Part I
above giving the student the option of waiving his/her right to review this form after it has been
submitted.
Since students are responsible for verifying that their recommendations have been sent
to the Off-Campus Programs Office, please notify the candidate when your recommendation has been sent. This will also ensure that you will not be needlessly disturbed by a
student checking on his/her recommendation!
*****************************************
RECOMMENDATION
What is the basis for your knowledge of the candidate?
Teacher ______ Advisor ____
Teachers: In how many courses were you the candidate’s teacher? Were they introductory,
advanced, or both? ________________________________________________
Advisors: How long have you been the candidate’s advisor? ______________________
Please rank the candidate in the following areas:
Excellent
Very Good
Good
Academic Performance
Academic Potential
Motivation
(Continue to page 2)
Fair
Poor
Applicant name: ____________________________________________________
On scale of 5-1, with 5 being the highest, please rank the candidate’s potential to profit from
a semester abroad. Consider non-academic elements such as adaptability, maturity, openmindedness, and self-reliance. If you feel unable to rank the candidate in this way, please
mark the rating with an X.
Rating: ______
Does the candidate have any strong or weak points that should be considered? ______
If yes, please elaborate:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Any additional comments:___________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature _____________________________________________ Date____________
Printed name: _________________________________________
Please return to the Off-Campus Programs Office, HH 322
(Calvin College, 1855 Knollcrest Circle SE, Grand Rapids, MI 49546-4402)
by April 23. This recommendation may be faxed to 616-526-7149.
Thank you for your assistance to this student in this scholarship application!