Academic Verification Form
to be completed by the student's high school counselor or college academic advisor by February 28, 2026
Student's Name
*
First Name
Middle Name
Last Name
School Name and Location (City & State)
*
0/20
Current GPA / Scale
*
Current Class Rank / Class Size
*
Would you recommend this student for this scholarship?
*
Please Select
Yes
No
Why or why not?
*
What is your overall impression of the student?
*
Counselor's / Advisor's Name
*
First Name
Last Name
Counselor's / Advisor's Email
*
example@example.com
Counselor's / Advisors Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Continue
Continue
Should be Empty: