Lakeshore Youth Leadership Connections Applicant Recommendation Form
Thank you for your participation. The information you provide will help our team select students that best fit the program.
Student Name
Your answer
Grade Level
Please select the 16-17 grade level of the student
School
Please select the school the student currently attends
Recommender Name
Your answer
Recommender email
Your answer
Recommender phone number
Your answer
In what capacity do you know the student?
Your answer
How long have you known the student?
Your answer
Ratings
Please rate the student on the following characteristics as compared to other students at the same education level:
Exceptional
Above Average
Average
Below Average
Poor
Unable to Rate
Commitment to Learning
Communication - Oral and Written
Time Management
Problem Solving
Responsibility/Dependability
Computer/Technical Skills
Creativity
Additional comments or information you wish to provide regarding the student
Your answer
Summary rating
Please select one of the following ratings for the student
Electronic Signature
Please type your name below to certify that all of the answers provided are complete and accurate to the best of your knowledge
Your answer
Submit
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