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Designated High School Official Reference

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Designated High School Official Reference Form

NAME OF YOUTH SCHOLARSHIP APPLICANT:
The above named student, an applicant for the NYR&CBA Youth Scholarship, hereby requests that you, as their Designated High School Official, fill out this form completely and submit it PRIOR TO AUGUST 31st.
Address of Youth Scholarship Applicant:
Name of Designated High School Official:
Address of High School:
Has the applicant shown serious shortcomings of any kind, including: disciplinary, attendance, social, scholastic and/or other?
To be eligible for the NYR&CBA Youth Scholarship, this applicant must have a GPA high enough to be accepted by an accredited college/university or vocational school. Is this applicant eligible under this provision?
Certification: