FEATHER RIVER COLLEGE SCHOLARSHIP
2018-2019 REFERENCE FORM
Instructions: Fill out the personal information below and have the bottom portion completed by your references. Two
references are required if applying for Academic Senate or Rose Cortez Memorial Scholarship: One must be from
an FRC faculty or staff member (be sure to follow the reference criteria of the scholarship for which you are applying). If
you have not yet attended FRC, one reference must be completed by an instructor at your high school or previous
college. The second reference must be from a personal reference outside of FRC or per the criteria of the scholarship for
which you are applying (e.g., high school teacher or administrator, employer, clergyman, community organizer, etc.).
Letters from personal friends or relatives are not acceptable. You may use the attached form, or you may submit letters of
recommendation that must answer all the questions contained in the reference form. Letters of recommendation must be
attached to your application; do not submit sealed envelopes.
________________________________________ ________________________________________
Student Applicant’s Name (Please Print) Student ID #
_________________________________________
E-Mail Address
_________________________________________________________________________________________
Attach additional sheet if necessary. If you prefer, you may attach a letter addressing these questions
instead of responding on this form.
1. How long have you known the applicant, and under what circumstances?
2. What qualities best describe this applicant?
3. What other information do you think the committee should consider in assessing this applicant? (Community
work/involvement, school clubs, extracurricular activities, family circumstance, etc.)
___________________________________ _____________________________ __________________
Name of Reference (please print) Signature of Reference Date
___________________________________ ___________________________________________________
Academic Affiliate / Title (please print) Institution
