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Emerging Young Leaders
Counselor/Teacher Recommendation Form
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Student Name
*
Your answer
Name of School
*
Your answer
Name of Counselor
Your answer
Phone Number of Counselor
Your answer
GPA and/or Progress in School
*
Your answer
Character
*
Good
Fair
Poor
Required
Do you recommend the above-named student as a participant in the Emerging Young Leaders Program
*
Yes
No
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