Part I - Personal Information

Please check one of the following of your relation to the applicant:

Marywood Faculty / Staff

Family Member

Peer

Today's Date:

Name of Applicant:

Your Name:

Phone #:

Email:

May we contact you for further information if needed?

Yes

No

Please rank the applicant in the following areas.

Willingness to accept responsibility

Excellent

Above Average

Average

Below Average

Weak

Unable to Judge


Ability to work collaboratively

Excellent

Above Average

Average

Below Average

Weak

Unable to Judge


Ability to set priorities

Excellent

Above Average

Average

Below Average

Weak

Unable to Judge


Ability to follow-through

Excellent

Above Average

Average

Below Average

Weak

Unable to Judge


Effective time management

Excellent

Above Average

Below Average

Weak

Unable to Judge


Maturity

Excellent

Above Average

Below Average

Weak

Unable to Judge


Initiative and Self Motivation

Excellent

Above Average

Below Average

Weak

Unable to Judge


Flexibility

Excellent

Above Average

Below Average

Weak

Unable to Judge


Awareness of social justice concerns

Excellent

Above Average

Below Average

Weak

Unable to Judge


Acceptance of differences

Excellent

Above Average

Below Average

Weak

Unable to Judge


Willingness to participate in group reflection and prayer experience

Excellent

Above Average

Below Average

Weak

Unable to Judge


Readiness for immersion in a developing country

Excellent

Above Average

Below Average

Weak

Unable to Judge


Sense of Humor

Excellent

Above Average

Below Average

Weak

Unable to Judge

How long, how well, and in what capacity have you known the applicant?

List 1-3 of the applicant's foremost strengths, particularly as they relate to his/her potential participation in the international service trip program. Please explain.

List 1-3 areas in which you think the applicant needs further development, particularly as they relate to his/her potential participation in the international service trip program. Please explain.

Please explain why you believe this applicant would be a strong participant in this international service trip.

Additional comments: