Student Recommendation Request Form

Submitting this form is required for your scholarship application to be valid.

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First Name of Applicant:*
Last Name of Applicant:*
Your email address:*
Phone number of Applicant (incl area code):*
First and last name of Recommender (Please revisit this form if you are seeking recommendations from more than one person):*
Email Address of Recommender:*

Please complete the following declaration. Please note that a copy of this will be emailed to the recommender.
As an applicant, I understand that Federal law provides me with a right of access to the recommendation by __________, and that no school may require me to waive that right.
Through this declaration, I hereby waive OR do not waive my right of access to this recommendation.