Children of the Fallen Personal Reference Form

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Welcome! Thank you for taking the time to fill out this referral form. By completing this form, you're helping a young student have a chance to be part of a truly life-changing adventure. Selected applicants will receive a full travel scholarship to spend 6 days rafting the San Juan River!

Applicants will need to complete TWO referrals. Referrals can include: a current or former teacher of the applicant, coach, mentor, boss or someone that is familiar with the applicant's character and skills. Family members are not allowed. This form is due no later than March 15, 2019.

The individual who asked you to complete this referral is applying to the Expedition to Benefit Children of the Fallen, managed by a nonprofit organization called No Barriers. This referral helps us select personable, trustworthy and committed individuals. We greatly appreciate your honest feedback. If you would like to learn more about this opportunity, you can review the following here.

Items marked with a red asterisk (*) are required.

Thank you,
No Barriers USA

Which most accurately describes the applicant for each statement?

Your Information