The Daniel and Jason Stevenson
Extracurricular Achievement Award

Teacher Recommendation Form

Deadline: March 5,2018

Email completed form to Jason Stevenson ()

Dear Recommender:

The student listed below has requested that you provide a recommendation for the Stevenson Extracurricular Achievement Award, which provides scholarships for post-secondary education. The principal criterion for this award is the completion of a successful extracurricular intellectual endeavor. The endeavor should involve a project or achievement accomplished outside of the regular high school curriculum. It must require a serious commitment from the applicant as well as personal initiative, intelligence, and hard work.

For more information, please consult the award Web site, at or send an e-mail to Jason Stevenson at

Starting in 2015, we asked the teachers or advisors to submit their recommendations directly to Jason Stevenson, one of the award managers. Applicants should not submit this recommendation form.

We request that all materials be emailed to Jason Stevenson (MS Word or PDF) by March 5, 2018.

Sincerely,

Daniel and Jason Stevenson

Applicant name:

Recommender name:

Title, department, and institution:

Please list classes or activities where you taught the applicant. If a class, please include when the class was taught (grade level) and the letter grade the applicant received.

Class Name / Grade Level / Letter Grade

Please check one:

I…

[ ]Strongly recommend / [ ]Recommend with reservations
please specify:
[ ]Recommend / [ ]Do not recommend

…the applicant for this award.

Please use the space below, additional pages, or a standard recommendation letterto comment briefly on the applicant. You may focus your comments on the applicant’s extracurricular achievement, his or her performance in your class, or other information about the applicant.

Thank you for your cooperation.

When finished, please email this form to Jason Stevenson ()

2018Stevenson Award Recommendation FormPage 1 of 2