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Stateline Community Foundation Scholarship
Recommendation Form

Important! Please print at least two copies of this page.

 

As the area’s primary provider of philanthropic services and scholarships, the Stateline Community Foundation stewards more than 125 charitable funds established by caring individuals, families, businesses and service groups who want to give something back to their community. Since 1986, revenue generated from these endowed funds has provided nearly $5 million in grants and scholarships to cultural, educational and humanitarian programs, exactly as the donors intend.

You have been selected to provide your honest assessment of an applicant for a scholarship. Please take the time to express why you believe this applicant would be a worthy recipient. Be as specific as possible, include comments in the areas of academic performance, citizenship, leadership, responsibility, and any other outstanding qualities which come to mind. Please also include in what capacity and for how long you have known this student.

When you have completed this form, put it in an envelope, seal the envelope, sign over the seal and return the envelope to the applicant. The applicant must submit their recommendations. If you have any questions about this form or procedure, please contact Tammy Kerch by email at tammy@statelinecf.com or (608)362-4228.

Thank you for your time and participation in this process.

Applicant Information (to be filled out by applicant)


 

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Applicant’s Complete Name                                                     Telephone: Home, Mobile,Other

 

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Address

 

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City State Zip                                                                                 Email Address

Recommender Information (to be filled out by recommender)

 

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Recommender’s Name Title or Position

 

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Name of Business or Institution                                               Telephone: Home, Mobile, Other

 

_______________________________________________________________________________
Address

 

_______________________________________________________________________________
City State Zip                                                                                 Email Address

 

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Signature Date