The Republican Women of Clifton

republican, conservative women and their spouses

Counselor Information

This information must be completed by the student's counselor.

Counselor Name *
Counselor Name
Counselor Phone *
Counselor Phone
Student Name *
Student Name
What High School does the student attend?
GPA *
Does the student have a minimum of a 3.0 GPA?
Please write why you recommend this student for the scholarship.
Government of the people, by the people, for the people, shall not perish from the Earth
— Abraham Lincoln