Reference Form

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To the reference: Please complete all the requested information below. Your reference is important in helping us select students who will enjoy their time and be successful at the UAHuntsville Junior Achievement Entrepreneurship Camp.

Reference Information

Reference Name: *

Applicant Name: *

Applicant School: *

Relationship to applicant: *

Phone Number: *

Email: *

Has this student shown a sincere interest in the Entrepreneurship Camp program?: *

Yes

Is he/she academically capable of participating in a challenging program? (GPA is not a consideration; however the program does require a strong work ethic as part of a team.): *

Yes

Will this student be a fine representative of his/her school and community?: *

Yes

Should we consider this applicant for a merit scholarship based on exceptional academic (GPA or ACT) or leadership performance? : *

Yes

If so, please explain documenting the students performance and your recommendation. :

Is there any history of disciplinary actions that you are aware of?: *

Yes

If yes, please explain:

Please share any additional information that would be helpful in evaluating this student:

Date: *

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