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ACI Foundation Reference Form  
 

ACI Foundation

(a Michigan NonProfit Corporation)

ACI Foundation
38800 Country Club Drive
Farmington Hills, MI 48331
Tel.: (248) 848-3832, FAX: (248) 848-3740

2010-2011 Online Reference Form

Statement of Appraisal 
of Applicant for:

ACI Foundation Student Fellowships

ACI Foundation Graduate Scholarships

TO EVALUATOR:


Please completely fill out form below and submit by October 30, 2009.

Instructions: Each evaluator shall complete the form and submit it prior to October 30, 2009. If there are any questions, please contact Lacey Jones at (248) 848-3816 or via email at scholarships@concrete.org.

*Name of applicant:


Applicant will be notified via email of this reference


*Email of Applicant


Currently enrolled at:


and/or employed by:


*Name of evaluator:


*Phone:


*Email:


*Address:




If you do not personally know the applicant, please check here , skip the rest of the form, and submit.

*Otherwise, how long have you had personal contact with the applicant?

Fromto

*Under what circumstances?:

*From your knowledge of the applicant’s performance, please check the box next to your rating of the applicant’s standing in comparison to others in similiar circumstances.
 

Leadership

 

Top 5% Top 10% Upper Third
Upper half Lower half
 

Reliability

 

Top 5% Top 10% Upper Third
Upper half Lower half
 

Oral Communication

 

Top 5% Top 10% Upper Third
Upper half Lower half
 

Written Communication

 

Top 5% Top 10% Upper Third
Upper half Lower half
 

Community Service

 

Top 5% Top 10% Upper Third
Upper half Lower half
 

*In your opinion, does the applicant have the ability and interest to pursue a career in the concrete industry? Please explain.

(Please limit response to 600 characters or less)

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Please provide any other information you believe should be considered by ACI in the awarding of a fellowship or scholarship to this applicant:

(Please limit response to 600 characters or less)
characters left

* Required information.