“GO” Fellowship Recommendation Form Updated on: December 14, 2010 Thank you for agreeing to submit a recommendation for a GO Fellowship Applicant. Since GO Fellows generally travel to third world countries or impoverished areas, the selection committee feels it is important to know some more about their ability to adapt to new situations and their motivation for applying to this program. Applicant's Name* First Last Reviewer's Name* First Last Reviewer's Email* Reviewer's Phone Number*(123)456 - 7890Relationship to Applicant*(Professor, mentor, supervisor, etc.)Please rate the applicant's characteristics:0=Insufficient information or contact with this applicant to make such evaluation 1=Poor 2=Below Average 3=Average 4=Above Average 5=Well Above AverageReliability (promptness, conscientiousness)*0 - Not Observed12345Motivation (commitment to service)*0 - Not Observed12345Stability (self-control/judgment)*0 - Not Observed12345Social Values (sensitivity to needs of others)*0 - Not Observed12345Intellectual Curiosity (interest in learning)*0 - Not Observed12345Adaptability/Flexibility (working in new or unique situations)*0 - Not Observed12345Personality (manner, courtesy, tact, poise)*0 - Not Observed12345Leadership (ability to inspire confidence)*0 - Not Observed12345Overall Impression*0 - Not Observed12345Comments:*Please comment on the student's ability to reflect on their experiences and identify relationships between their experiences and what goes on in other areas of their life. Also provide any other written comments about this applicant that makes him/her a good candidate for a GO Fellowship.