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Greenfield Community Spirit Memorial Award Reference
Reference submission deadline is December 31, 2018. Please note, this form cannot be saved and please remember to click on the submit button at the end of the application form. If you have any questions about the application, email
Email address *
Provide the first and last name of the applicant who you are providing this reference for? *
Your answer
Your First Name *
Your answer
Your Last Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
How long have you known the applicant? *
Your answer
In what capacity did you work, volunteer, or supervise the applicant? *
Note: Include if you were a supervisor, volunteer coordinator, co-worker, etc.
Your answer
Please describe how the applicant embodies citizenship and community spirit? *
Note: Include as much description as possible about your direct interactions and observances of the applicant.
Your answer
By clicking submit, you are confirming that everything in this reference is true and accurate to the best of your knowledge. You are also providing GCL permission to contact you to confirm the information provided. If you have any questions, please contact
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