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Glendive Medical Center

GMC Foundation Scholarship Recommendation Questionnaire

Three personal references are required by April 15 at 5 pm. At least one reference must be from an instructor. Sorry, references from relatives are not acceptable. Students, please remember it is your responsibility to ensure that three references arrive in the Foundation office by the deadline. Thank you for applying and best of luck!
  Applicant’s name
  Your name and title
  Relationship to applicant
  Length of time you have known applicant
  Why should the applicant be considered for this scholarship?
  How has the applicant shown that they will be susccessful in their chosen field?
  Other information about the applicant pertinent to this application?
  Please sign (electronically) and date: