Provost Scholars Program Verification of Student Service

Provost Scholars Program Verification of Student Service

Thank you for verifying the Prospective Scholar's student service activity as part of their application for the 2025-2026 academic year. For more information about the Provost Scholars Program, please visit www.case.edu/provostscholars. If you have any questions, please feel free to contact Latonya Shazor (Assistant Director) at Lxs854@case.edu. This form must be returned no later than August 22, 2025.
Name of Prospective Scholar (First/Last) *


Name of Person Verifying Student Service (First/Last) *


Name of the Service Organization *


Please describe the nature and the time involved of the service: *


Please offer any additional comments or insights about the Prospective Scholar that would help us understand the range of their service work:


I attest that the information I have provided here is true to the best of my knowledge. *