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Cincinnati State Honors Program Recommendation Form
Please complete the recommendation form below if you are recommending a student to the Honors Program.
If you do not click
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or
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within 2 hours, your data will be lost.
Attention!
If you do not click
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or
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before the timer expires, your data will be lost.
Student Information
First Name
*
Middle Name
Last Name
*
Suffix
Jr.
III
IV
Sr.
College ID
*
Fields with
*
are required.
Important: This form must be completed by someone other than the student being recommended.
I certify that I have a professional relationship with the student and I am someone other than the student listed above. I certify that I am not a member of the Cincinnati State Scholarship Committee.I will complete this form in its entirety on behalf of the student.
*
Name of the person Recommending Student:
First Name
*
Last Name
*
Email address
*
How many years have you known this person?
*
0-2 Years
3-5 Years
5-7 Years
7-10 Years
10+ Years
In what capacity have you known this person? 500 word maximum
*
Why did you choose to recommend this person? 500 word maximum
*
If you have an electronic copy of a letter and would like to attach it, attach below:
Terms of Agreement
I certify that the information provided is complete and accurate to the best of my knowledge. I give permission to Cincinnati State Technical & Community College permission to verify all information on this document.
*
I give Cincinnati State Technical & Community College permission to share any/all information/data I have provided in support of the above listed students' application for a scholarship with the scholarship committee members, officers and agencies administering this scholarship program.
*
Signature
*
Date
*
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