Character Recommendation Form

Character Recommendation Form: Evelyn K. Titus Memorial Scholarship

To be completed by someone who is not a teacher or family member of the applicant. This form can be submitted online or printed, signed and mailed to Evelyn K. Titus Scholarship Trustees, c/o Warren-Henderson Farm Bureau, PO Box 348, Monmouth, IL 61462. It may also be brought into the Farm Bureau office located at 1000 N Main St, Monmouth. If bringing it into the Farm Bureau office please place in a sealed envelope with the student's name and the name of the scholarship on the envelope. This form is to be submitted or postmarked on or before February 28, 2021.
Name of Student: *
Describe how you know the applicant: *
Describe the applicant's character traits that you have observed: *
Please tell us why you believe this applicant should be awarded the Evelyn K. Titus Memorial Scholarship. *
Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Signature

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this recommendation. When you press the submit button you will receive an email confirmation that your recommendation was received. Please retain as verification of your recommendation.
E-Signature: *
Date *

Month Day Year
Should be Empty:

Character Recommendation Form: Evelyn K. Titus Memorial Scholarship