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Arizona Scholarship Fund K-12 PRIVATE SCHOOL SC}IOLARSHIPS &TUITION ASSISTANCE PROGRATII

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PLEASE PRINT LEGIBLY. IN JANUARY PLEASE MAIL RECEIPT TO:

SAVE A TREE
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Name: _
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Enclosed is my donation of $
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[ ] Failing Public Schools Fund [ ] Specilic Community [ ] Need-based Kids'Fund
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ARlzoNA SCHOLARSHIP FUND Po Box 2576* Mesa' Arizona 85214'2576 (/t80)497'4564

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Recommendation Form
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ATTN: ASF Awards Selection Committee

As you are considering the numerous applications you receive requesting tuition assistance
from families throughout Arizona and knowing that your funds are limited, the following letter is
intended to serve as my formal recommendation for:

Fire Number: IC83D Famiry Lasr Name


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ln 250-500 words, describe why you believe this child is deserving of tuition assistance over
other children that have submitted applications. Please note the length of time you have
known the child. You may choose to share the child's circumstances, challenges,
achievements or character traits. Please be specific. Generic recommendations or
those without substance will not be considered. The Committee is dependent on your
recommendation to determine whether to pursue its consideration of the child or not.

Arizona's CHOI,CE in education


K-12 Private School Tuition Assistance Program
Please read and initial each statement.

. I certify, under penalty of law, that I have not recommended my child (whether biological,
adopted, step, half, dependent or non-dependent, foster or otherwise) to be considered for
tuition assistance.

. I certify, under penalty of law, that I am not reciprocating (swapping) a recommendation with
another family or group of families.

. I certify, under penalty of law, that I am not receiving nor expect to receive any goods,
services, personal, financial or economic benefit as a result of making this donation and/or
recommendation.

. I understand my recommendation is non-binding and may be used for political and/or


marketing purposes. lf used for such, I understand the content of my recommendation will
not be altered, however, identifying information will not be used. I also understand that I will
not be compensated for the public use of my recommendation.

o I understand the child I recommend may or may not qualify to be a recipient of tuition
assistance, and therefore, there is no guarantee that the child will receive any tuition
assistance.

o I understand that Arizona Scholarship Fund has exclusive legal control over all assets
donated.

Signature: Date:

Relationship to Child:

Arizona's CHATCE in education


K-12 Private School Tuition Assislance Program

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