REF Scholarships - Counselor/Teacher Nomination Form
Please use this form to nominate a Rochester city student for an REF scholarship. Scholarship Deadline is April 15, 2023. 

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Your Information
Information of the high school counselor/teacher/administrator making nomination

Name *
Email *
Phone *
Title *
School *
Student Information
Information for the student you are nominating
Student Name *
Student Email *
GPA (Must be above 2.8) *
Student's college plans *
Does the student meet all of the criteria for the scholarship for which they applied? Criteria for each of the four can be viewed here: https://rochestercan.org/scholarships.html 
What extraordinary service has this student provided to their school or community? *
How has their contribution made an impact on others at school or in the community? *
Is there anything else you would like to share about the student to strengthen their application?
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