Ewing-Jones Scholarship - Applicant Reference Form
This form is for teachers, counselors, and others offering letters of reference for students applying to the Ewing-Jones Scholarship.

For more information, visit eveewing.com/scholarship

THIS FORM AND ALL APPLICATION MATERIALS ARE DUE AT 11:59 PM ON NOVEMBER 30.

Before beginning, please do the following:
- Review information about the Du Bois Scholars Institute at duboisscholars.org to familiarize yourself with the program and consider whether the applicant is a good fit.
- Write your letter in a word processor (such as Microsoft Word) so it can be copied and pasted below.

Applicant's First Name *
Your answer
Applicant's Last Name *
Your answer
Your First and Last Name *
Your answer
Your Email Address *
Your answer
Your Title/Position *
Your answer
Organization/School *
Your answer
How long and in what capacity have you known the applicant? *
Your answer
Please offer a letter of reference on behalf of the applicant. *
Your letter should address the following: personal strengths of the applicant; potential areas of personal growth for the applicant; the applicant's commitment to leadership, social justice, and/or community service; the applicant's capacity to participate in a four-week residential program (including maintaining academic work and living away from home).
Your answer
(OPTIONAL) Are there any special circumstances you believe we should consider as we evaluate this student's application?
Your answer
By clicking here, I acknowledge that the information submitted in this form is accurate to the best of my knowledge. *
Required
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