Jefferson College of Health Sciences - JCHS 2009-2010 Electronic Scholarship Recommendation Form

JCHS 2009-2010 Electronic Scholarship Recommendation Form

Upon completion, you may submit this recommendation request by clicking on the "Submit Form" button below or by returning it to:

Jefferson College of Health Sciences

Office of Financial Aid

920 S Jefferson Street

P O Box 13186

Roanoke VA 24031-3186

What is your relation to the applicant?
	Current Employer
	Former Employer
	Nursing Faculty
	Colleague

The Family Educational Rights and Privacy Act of 1974 and its amendments guarantee students access to educational records concerning them. Students are also permitted to waive their rights of access to recommendations. The following signed statement by the above named student indicates the wish of the applicant regarding this recommendation. Failure to respond will be considered as a waiver of the right to inspect the contents of this recommendation.
	I do waive my right to inspect the contents of the following recommendation.
	I do not waive my right to inspect the contents of the following recommendation.

By typing your name here, you are supplying your signature to either waive or not waive your right to inspect this recommendation.

Date Signed Above:

On a scale of 1 to 4 (1 being low and 4 being high) please rank this applicant on each item category (please type the number of your ranking):
Potential as a Healthcare Provider
Educational Motivation
Leadership Qualities
Oral Communication Skills
Written Communication Skills

Your name:

Date:

Phone:

Jefferson College of
Health Sciences
101 Elm Ave., SE
Roanoke, VA 24013
webmaster@jchs.edu
1-888-985-8483

Saturday, May 25, 2013