Greater Cleveland Chapter One, American Orff-Schulwerk Association
-- Music & Movement Education

Chapter One Assistance Fund Candidate Reference Form

Name of Applicant: __________________________________________ Date: ___________________

Please comment on the following qualities of the applicant to the best of your ability.

Motivation:




Industry:




Initiative:




Responsibility:




Reasoning Ability:




Completion of Projects and Follow-Through:




Additional Comments Related to Applicant's Qualities:

Signed,______________________________________________________

Title/Position: _____________________________________________ Phone: __________________

Please Return This Form To:

Chapter One Assistance Fund
c/o Alan Purdum
128 Fairview
Cortland, Ohio 44410-1426

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