RECOMMENDATION FORM

FIRST-TIME APPLICANTS must submit two recommendation forms and two recommendation letters with their application. Please attach the recommendation form with each recommendation letter.

RETURNING “CHAMPIONS” AND “AMBASSADORS” must submit one recommendation form and one recommendation letter with their application. Please attach the recommendation form with each recommendation letter.

Recommendations should be from an adult or peer who has observed you in your service, such as a fellow site worker, service coordinator, or site supervisor.

To Whom It May Concern:

Thank you for taking the time to complete this form and providing a recommendation letter for this student who is applying to be a “Champion.” Champions of Caring celebrates and honors high school students who have demonstrated character, and an outstanding commitment to community service, and promotes them as role models—as heroes of our time. Students selected as “Champions” will be honored at a public ceremony in the spring. Since its inception in 1995, thousands of young heroes from high schools in the greater Philadelphia region have participated in our Champions of Caring Recognition Program. After you have completed this form, please attach a letter in which you describe the applicant’s service work and why he or she should be chosen as a “Champion.” This letter should not be a college or job recommendation letter, but rather, focus on the student’s service and leadership skills. Please share how the student has made an impact through his/her service, any personal growth you have witnessed, and any other information you feel is pertinent.

Thank you for your support of this student and for your commitment to service. We hope that you will assist the applicant in completing his or her nomination form and essay. The completed application must be submitted by the student and postmarked by February 15th.

Sincerely,

Barbara G. Shaiman

Founder and President

P.S. The applicant may qualify for scholarships and other benefits based on his/her service.

Name of Student:______________________________________________________________________________________

School: ______________________________________________________________________________________________

Please complete the following information:

 

Name: ________________________________________

Title: ____________________________________________

Organization or School: ________________________________________________________________________________

Address: ____________________________________________________________________________________________

City: ______________________________

State: ________________________

ZIP: __________________________

Phone: ____________________________

Fax: ________________________

E-mail: ________________________

Relationship to applicant:

 

 

 

 

Service coordinator

Peer in service

Other:

________________________________

Service site supervisor

Service teacher/mentor

 

 

Please circle the appropriate response:

The applicant has experience and demonstrates ease in working with people different than themselves.

Strongly

Somewhat

 

Strongly

No Basis

Disagree

Disagree

Agree

Agree

for Judgment

The applicant demonstrates experience with and comfort in speaking about community service.

Strongly

Somewhat

 

Strongly

No Basis

Disagree

Disagree

Agree

Agree

for Judgment

The applicant demonstrates experience with and comfort in recruiting his/her peers to service.

Strongly

Somewhat

 

Strongly

No Basis

Disagree

Disagree

Agree

Agree

for Judgment

The applicant demonstrates experience with and comfort in initiating or coordinating parts of a service project.

Strongly

Somewhat

 

Strongly

No Basis

Disagree

Disagree

Agree

Agree

for Judgment

Check if you would like to be contacted about future involvement with Champions of Caring.