Recommendation Form

Recommendation form for scholarship applicants
Department of Theatre Arts
Eastern Illinois University

Your recommendation will assist the department in determining the scholarship applicant selected.

Student Name * First Last
Name of Scholarship Applicant
plans to apply for a Department of Theatre Arts Scholarship at Eastern Illinois University.

How long have you known the applicant?
Relationship to the applicant? Teacher/student Family/Friend Employer Other
Did you employ the applicant? Yes No
If you did employ the applicant, would you employ them again? Yes No
If you employed them, in what capacity?

General description of what types of tasks they were assigned, their level of responsibility.
Please comment on the applicant's skill and ability to work responsibly and cooperatively. Feel free to include any examples or additional facts that show their involvement.
The student's request for the recommender to complete this form constitutes the student's waiver of the right for faculty and support staff to read the recommendation. The recommendation is confidential. We may contact you to verify that you completed this form. Thank you for your assistance.

Your Name *
Your Title
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Day time phone - (###) - ### ####
Email *
Today's Date / MM / DD YYYY
Click on SUBMIT to send to the EIU Theatre Department by e-mail. Or, you can print completed form and send to: Scholarship Committee, EIU Theatre Dept., 600 Lincoln Ave., Charleston, IL 61920-3099 or fax to 217-581-6027. Visit our website at www.eiu.edu/theatre for information on scholarships and forms.

Revised for web 10/18/11