YWOA Scholarship Reference Form Reference's Name * First Name Last Name Applicant's Name * First Name Last Name Relationship to the applicant * Reference's Email * Reference's Phone * (###) ### #### Reference's Address * Address 1 Address 2 City State/Province Zip/Postal Code Country What are the applicant’s contributions to the community as related to YWCA’s Mission? (Eliminating racism, empowering women, and promoting peace, justice, dignity, and freedom for all.) * 1500 character maximum Why do you think this applicant should receive the scholarship? (Applicants will be scored in terms of leadership, community service, and commitment to social justice) * 1500 character maximum Agreement I agree that all of the above information is true and I understand that I may be contacted to verify my eligibility as a reference Thank you!