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PDF Form
Applicant
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

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Reference
You have a few options for sending your letter of recommendation.

Option 1. Download and print a paper application. The paper application can be mailed to the address on the document. The application must be postmarked by April 15.

Option 2. Download and print a paper application. Scan and email the completed application to mlkavlscholarships@gmail.com no later than April 15.

Option 3. Complete this online recommendation form. Must be submitted no later than April 15.
- Write or type your letter of recommendation.
- Describe the applicant's commitment to actively embracing Dr. King's dream of improving racial harmony and social justice.
- Upload the letter using the field below.
Upload signed reference

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Reference Provider

The student named on this form is applying for the Dr. Martin Luther King, Jr. Regional Scholarship and has asked you to provide the committee with any information you feel would be helpful in reviewing his/her application. You may be assured that the information will be considered confidential. If you are unable to complete a letter of recommendation by the deadline, please notify the applicant so that he/she may secure another reference.
Name of Reference

First Name Last Name
Phone Number

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Reference Email
example@example.com
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