CU Faculty/Staff Reference Form

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Thank you for your willingness to be a reference for one of our CU students. This student is applying to be a Social Change Coordinator for the 2015 - 2016 academic year. Your completion of this form will help us, in the Office of Service Leadership, to select students who are ready for and can benefit from the leadership opportunities in our program. We appreciate your time and consideration as you assist us with the selection of our 2015 - 2016 team!

Please submit your reference to the Office of Service Leadership by Friday, February 20th.

Applicant's Name: *

Your Name:

Position at CU:

Email:

Phone Number:

How long have you known the applicant and in what capacity?

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