Doneta Schaeffer Memorial Scholarship
Reference for Girl Scout Involvement

** Means manditory information- you must fill in that field.

Applicant's Name

You have been asked to complete a reference for the Doneta Schaffer Memorial Scholarship. Complete this reference and click the submit button at the bottom of this page to Email this form to: Recognitions@GSEIWI.org. You can also fill it out,
print it off and mail to:

Attn: Doneta Schaeffer Memorial Scholarship,
GSEIWI,
2011 Second Avenue,
RockIsland, IL, 61201.

Letter must be received or postmarked no later than March 1, 2012.
Incomplete or late letters will not be considered.

Reference Contact Information

** Means manditory information- you must fill in that field.

** Name:
** Street Address (include apt #)
** City ** State ** Zip
Email Address
**Phone (day) **Phone (evening)
** Relationship to Applicant
** # of acquaintance years

Doneta Schaeffer Memorial Scholarship Reference Questions

** Means manditory information- you must fill in that field.

** 1. Describe an example of how the applicant has shown leadership to the community through her Girl Scout experience. Examples include: community groups, faith organizations, school, sports, etc.

** 2. Describe an example of how the applicant has given service to the community through her Girl Scout experience. Examples include: community groups, faith organizations, school, sports, etc.

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Click on the printer icon on the top right of your webpage to print or go to file and save as.

Press the submit button to email your reference.
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Doneta Schaeffer Memorial Scholarship Reference for Girl Scout Involvement

Reference Contact Information

Doneta Schaeffer Memorial Scholarship Reference Questions

Doneta Schaeffer Memorial Scholarship
Reference for Girl Scout Involvement