State Officer and Scholarship Reference Request

Deadline for State Officer and Scholarship Reference Request is January 19, 2024.

For State Officer Candidates and Scholarship Applicants

Applicant Name(Required)

First Last

Applicant Email Address(Required)

Enter Email Confirm Email

Are these references for:(Required)

State Officer Application

Scholarship Application

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Reference One: Chapter Advisor(Required)

First Last

State Officer Reference 1: Chapter Advisor Email Address(Required)

Enter Email Confirm Email

State Officer Reference 2: A Non-Relative(Required)

First Last

State Officer Reference 2: A Non-Relative Email Address

Enter Email Confirm Email

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Scholarship Reference 1: A teacher, advisor, principal, or school counselor

First Last

Scholarship Reference 1: Email Address

Enter Email Confirm Email

Scholarship Reference 2: An employer or community leader

First Last

Scholarship Reference 2: Email Address

Enter Email Confirm Email

Scholarship Reference 3: A source other than a relative

First Last

Scholarship Reference 3: Email Address

Enter Email Confirm Email

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