Henri A. Termeer Student Scholarship Candidate Endorsement Form

Name*

First Last

Job Title*

Organization*

Email*

Phone*

Full Name of Candidate you are endorsing*

First Last

Candidate's intended college or university*

Candidate's intended area of study*

Please describe your relationship with the candidate. How long have you known them, and in what capacity?*

What programs and/or activities, if any, is the candidate involved in on an ongoing basis at your organization?*

What evidence can you provide regarding the candidate’s interest in and commitment to pursuing an education and a career in the life sciences?*

Tell us why you think the candidate will be successful in this degree program, such as academic readiness for college and ability to balance family, work and school.*

Why do you think the candidate deserves to be chosen as a Termeer Scholar? Please include information about motivation, commitment, ability, and other relevant factors.*