Letter of Reference #1 – Lakota Youthstay

"*" indicates required fields

Two written references are required and must accompany each Lakota YouthStay application.
The first reference must be from a current or former teacher familiar with you and your school activities.

Reference #1 Name*
First Last

Applicant Name*
First Last

How long has s/he known you?*

School*

Address*
Street Address City State Zip Code

Reference #1 - Best email to reach you if needed*

Phone*

Best time to call, if needed

Hours

:

Minutes

AM/PM

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Max. file size: 100 MB.