Reference Form

Please submit this form by 11:59 P.M. Friday, March 1, 2024.

Reference/Advisor Information: Please enter your information below.

NAME OF AWARD:
If a you are serving as a reference for a candidate that is applying for multiple awards, please select all that apply below. Only one form is required to be submitted.
Using your experience with the candidate, please rate them on the following items in relation to the organization, activity or program you oversee:
Strongly DisagreeDisagreeUnsureAgreeStrongly AgreeN/A
Has significantly contributed to the growth and development *
Demonstrated the ability to motivate others *
Shown initiative in their leadership capacity *
Displayed integrity and good judgment in their role *
Been reliable and responsible in their role *
A role model for outstanding student leadership. *
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