You must have JavaScript enabled to use this form. First Name Last Name Email First Name of Student Applicant for the Doane Honors Program Last Name of Student Applicant for the Doane Honors Program Relationship to Applicant (e.g., English Teacher, School Counselor, Basketball Coach, etc.) Please rate the applicant in the following categories on a 1-5 scale, with 5 as "exceptional,' and 1 as "poor." 1 - Poor 2 - Fair 3 - Good 4 - Strong 5 - Exceptional If you are unable to answer a question, please leave it blank. Willingness to admit mistakes 1 2 3 4 5 Ability to make a commitment 1 2 3 4 5 Can critically engage with course material (not just understands, but can analyze and/or evaluate course material) 1 2 3 4 5 Ability to engage with multiple perspectives/points of view 1 2 3 4 5 Demonstrates interest and/or experience working with others who are different than themselves 1 2 3 4 5 Willingness to take on responsibilities 1 2 3 4 5 Please provide an example of a time you have seen the applicant demonstrate intellectual curiosity. Please provide an example of a time you have seen the applicant demonstrating any of the other three Honors Program values (Integrity, Cross-Cultural Engagement, and Service). Please provide your final recommendation concerning the applicants' entry into the Doane Honors Program Recommend this student without reservation Recommend this student Recommend this student with reservations Do not recommend this student Do you have any further comments about the applicant? (e.g., a clarification of your recommendation or things we should consider as a committee when reviewing this applicant)
