The Moniker foundation
Student Self Evaluation Form
Student Name:	ID#:
School:
Student Evaluation INstructions
Upon accepting our scholarship award, we require that you provide us with an update regarding how you are utilizing your scholarship and benefiting from your college experience. We use this as a way to ensure you are reaching your goals and performing at your full potential. By no later than December 31, 2017, please send an electronic copy of this completed form and a picture to Drew Rees at drees@monikerfoundation.org. Please re-save the form as “your name .doc” and the picture as “your name.jpeg” before sending.
Assignment
Please attach a photo that illustrates a memorable educational or community service activity experience you’ve had during the Fall 2017 semester. Then, in the space below, briefly describe the photo and what it means to you.
Please note that The Moniker Foundation distributes an annual newsletter to its contributors and Board members. We ask your permission to use any photos or materials you send us related to your experience in our newsletter or website. No financial or personal information will be released. I give you permission to use the information I provided for Moniker Foundation’s website and newsletter I do not want to have any information I provided featured on Moniker Foundation’s website or newsletter