KAPPA OMICRON NU HONORARY MEMBERSHIP EVALUATION FORM This application form, typed or printed, should be submitted to the KON Natl. Office: PO Box 798, Okemos, MI 48805-0798 ____________________________________________________________ Candidate Name (First, Middle Initial, Last) Date ____________________________________________________________ Reviewed by ____________________________________________________________________ Weighted Criteria Scores Rating ____________________________________________________________________ Relevance of professional contributions 30 ___ to family and consumer sciences field is demonstrated Significance of scholarship and research 50 ___ is documented by nominator Significance is documented by 10 ___ Recommendation 1 Significance is documented by 10 ___ Recommendation 2 TOTAL 100 ___ After completing the rating form, assign an overall rating according to the criteria listed below: 5-- An outstanding nominee; one that should be considered 4-- Very good nominee; one which merits consideration 3-- Good/Average nominee; one which does not merit high consideration 2-- Fair/Poor nominee; one that does not merit consideration 1-- A nominee that should not be considered. Overall Rating (general assessment) _____________ Comments: Rank: _____ of _____