Reference Form

Reference Form for Collegiate Academy Applicants

Reference Form

The individual requesting your recommendation is applying to be a member of the Kansas Corn Collegiate Academy. The program is designed to develop future corn farmers and industry professionals. Your reference will be used during the selection process and in assessing the applicant’s qualifications. All references are confidential. This applicant cannot be a family member of the referrer. References are due Nov. 15, 2021.

Reference Form for Collegiate Academy Applicant

Name*
First Last
Applicant's Name*
First Last
Referrer's Business/Organization (if applicable)
Referrer's title/position
Referrer's Address*
City State / Province / Region ZIP / Postal Code
Referrer's Contact Email*
Referrer's Contact Phone*
I know this applicant:*
Please briefly describe the nature of your relationship to the applicant.*
Describe the applicant's leadership potential, maturity and professionalism.*
In your opinion, describe how the applicant would benefit from being part of the Kansas Corn Collegiate Academy?*
Commitment statement
I commit that the above, and enclosed information, is an accurate representation.
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