THE STEPHEN PHILLIPS MEMORIAL SCHOLARSHIP FUND
P.O. Box 870, Salem, MA 01970
COLLEGE RECOMMENDATION FORM
May 5, 2015 Deadline
Thank you for helping this student apply to the Phillips Scholarship, which offers renewable, 4-year college
scholarships to students with financial need who display academic achievement, a commitment to serving others, a
strong work ethic, and leadership qualities.
College Professors, Teaching Assistants or Academic Advisors are welcome to complete this form. Also, an
accompanying letter of recommendation is welcome if you have further information regarding the student. They can
be emailed to [email protected], faxed to 978-744-0456, or mailed to the Scholarship Office.
The student has waived his/her right to see all information submitted by Recommenders. If you have additional
comments or concerns, please call the Scholarship Office, (978) 744-2111.
Student’s Name:
Recommender’s Name:
Recommender’s Title
Recommender’s Phone #:
Recommender’s Email:
Please comment on the following topics regarding this student:
How long have you known this student?
Quality of written work:
What makes this student worthy of a scholarship?
College Recommendation Form – Page 1
2015 New College
THE STEPHEN PHILLIPS MEMORIAL SCHOLARSHIP FUND
COLLEGE RECOMMENDATION FORM – continued
We are interested in learning about a student’s “sense of other” (care and concern for others) and “special
circumstances” (could include but is not limited to: family situation, health issues, cultural barriers, socioeconomic
challenges, etc.) Please comment below on anything that you feel is important for us to know about this student.
College Recommender’s
Signature:
Date:
College Recommendation Form – Page 2
2015 New College