An applicant for Youth Leadership Broward Class XXXVIII has selected you as a reference. The Selection Committee is interested in your statements regarding the applicant. The committee is aware of the time necessary to prepare this assessment and gratefully acknowledges your help in providing an honest appraisal of this applicant.

Applicant Name*

First Last

Reference Name*

First Last

Organization

Address*

Street Address City State ZIP Code

Phone*

Email*

Recommendation – Please Check One:

I recommend this applicant unreservedly.
I recommend this applicant with reservations.
This applicant is not an appropriate candidate.

TO THE REFERENCE:

Please answer the following questions in the spaces provided. When answering these questions, please consider the applicant’s skills and aptitude as they relate to academic motivation, leadership qualities, self-confidence, warmth of personality, empathy for others, kindness to others, emotional maturity, and personal initiative.

How long, and in what capacity, have you known this applicant?*

What do you consider the applicant’s prime strengths to be?*

In what area(s) do you feel the applicant needs improvement?*

Why do you feel this applicant is a good candidate for YLB?*

Please describe an instance where you have observed the applicant display his or her leadership capabilities.*

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