Professional Development Scholarship Online Recommendation

TO BE COMPLETED BY CEO, COO, EXECUTIVE DIRECTOR, OR ADMINISTRATOR

Name of applicant

LeadingAge PA member organization

Position of applicant

Name of person completing recommendation

Title of person completing recommendation

Email

Phone

How long has this applicant been employed in this organization? (minimum one year)

How would you rate the applicant on the following?

Maturity

Sensitivity

Commitment to Profession

Ability to Communicate

Dependability

Team Player

Please describe the applicant’s strengths:

Please describe the applicant’s opportunities for improvement:

Briefly describe why you believe this applicant would be a worthy recipient of this scholarship:

I have confirmed with our Human Resource Department that the above listed applicant is in good standing within our organization and consideration for this award is merited:

Yes

No

Electronic Signature

Date

New code

Please type the code above

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