Dear Reference:

______________________________________ (name of applicant) is applying for the Ilene F. Rockman CARL/ACRL Conference Scholarship to subsidize attendance at a CARL/ACRL biennial conference. We want to select people who will excel in a library and information science career by supporting their attendance at professional association conferences. Please check your recommendation after each of the criteria listed below. To assist the application review committee in making the best choice(s) for this scholarship, please provide more details, positive or negative, by attaching a separate letter to this form specifically addressing the evaluation  criteria below.  Providing relevant examples to support your ratings will also help the committee in making a decision . You can keep this information confidential by placing it in a sealed envelope, addressed Attention: CARL/ACRL Conference Scholarship Committee. You may also submit this reference form as a Microsoft Word or pdf attachment sent to the Committee Co-Chair, Corliss Lee, clee@library.berkeley.edu.

To Be Completed by Reference
Name (print or type): ____________________________________________________

Title: ___________________________________________________________________

Institution: _____________________________________________________________

Phone: ____________________________ E-mail: ______________________________

Signature: _____________________________________________________________________

	Very Highly Recommend	Highly Recommend	Recommend	Do Not Recommend	I cannot speak to
Shows Initiative
Communication Skills
Organizational Skills
Accepts Responsibility
Leadership Skills
Commitment to Academic Librarianship
Commitment to Academics
Need for Financial Assistance