2024 YLK Application - Teacher & Community Reference Form
Reference Instructions
The student who provided you think like is an applicant for Youth Leadership Kearney. The program works to enhance the knowledge and leadership skills of high school students by motivating and empowering them to be committed to their community. The program seeks youth who are beginning to show leadership potential and an interest in the community.  

The Selection Committee attaches considerable weight to the statements made by references and gratefully acknowledges your time and help. Application materials will be reviewed in confidence. Please complete this form by October 13 by 5 p.m. An applicant's application is not complete unless they have a teacher reference and a community reference. 

 If you have any questions please contact info@leadershipkearney.com.

Email *
Which reference are you providing? *
Your email address *
Your First Name *
First Name of Recommender
Your Last Name *
Last Name of Recommender
First Name of Student *
First name of the student you are submitting a reference
Last Name of Student  *
Last name of the student you are submitting a reference
What school is the student attending? *
1.  How long and in what capacity have you known the applicant? *

2. Describe the applicant using a few phrases or adjectives. Please also describe the applicant’s primary strengths or talents.


3. Please comment on the applicant's relationship with his/her peers.


4. Do you feel the applicant has an interest in leadership or giving back to the community?

5. We seek participants who represent all of the categories below. Which best describes the applicant? *
6. Please rate your perception of the applicant's skills in the following areas: *
Top 10% of students his/her age
Needs Improvement
Ability to work with others
Concern for others
7. Please tell us anything else you would like for us to know about the applicant.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kearney Public Schools. Report Abuse