Note to those completing this form: Thank you for your willingness to help area students pursue their dreams of higher education.
Your frank and honest assessment of the applicant is an invaluable tool in the selection process. Please complete as thoroughly as possible.
Please direct questions to 218-340-5015.
Please describe your relationship with the applicant.
Statement of Authorization, Accuracy and Release
All the information above constitutes my recommendation, and is correct and true to
the best of my knowledge and belief. I understand that all information will be furnished to the Scholarship Selection
Committee, and shall be confidential.
Please type the 3 BLACK characters only from this image
(do not include the red characters)