David Still Memorial IEP Graduating Student Award
Reference Form
Your Name
First Name
Last Name
Your Email Address
example@example.com
Your Affiliate Chapter (if applicable)
What is the name of the person you are submitting a reference for?
First Name
Last Name
What is the email address of the person you are submitting a reference for?
example@example.com
What is your relationship with the applicant?
Reference Questions
Please answer the following questions and provide a numerical rating.
If you are submitting your reference in ASL, please review the questions below and provide the answers in your video. Paste YouTube link here. When finished, scroll down and click submit.
If you are submitting your reference in English, please continue to answer the questions below using this form.
1. American Sign Language (ASL)
1 - very poor
2
3
4
5 - average
6
7
8
9
10 - excellent
Comments
2. English
1 - very poor
2
3
4
5 - average
6
7
8
9
10 - excellent
Comments
3. Overall interpreting ability
1 - very poor
2
3
4
5 - average
6
7
8
9
10 - excellent
Comments
4. How would you rate this applicant's involvement within the Deaf community?
1 - not involved
2
3
4
5 - average
6
7
8
9
10 - very involved
Comments
5. How would you rate this applicant's awareness of Deaf Culture?
1 - not aware
2
3
4
5 - aware
6
7
8
9
10 - very aware
Comments
6. How would you rate this applicant's overall sense of ethics and moral character?
1 - very poor
2
3
4
5 - average
6
7
8
9
10 - excellent
Comments
7. In your opinion, what potential contribution can/will this individual give to the field of interpreting? For example: will work as an interpreter, will be involved in professional organizations, will organize/volunteer for committees/write articles for newsletters, etc.
8. Please provide us with any other information regarding this applicant that would help us in our decision (500 words maximum).
Submit
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