2020 Nakayoshi Gakko Sempai Applicant Reference Form
Thank you for your time in completing this reference form for the Applicant. Your insight is important in assisting Nakayoshi Gakko in determining the acceptance of the Applicant as a Nakayoshi Gakko Sempai.

Please answer all questions below to the best of your abilities by Sunday, February 16th.

Sempai Responsibilities Overview:
The Sempai position assists teachers, parents and most importantly, the children at Nakayoshi Gakko (incoming 1st - 8th graders). The most crucial role is that of a Role Model. The children will look up to them, learn from them, and most importantly, feel that they have something to offer.
Applicant's Name: *
For whom are you completing this reference for?
Your answer
Reference Name: *
Your name (first & last).
Your answer
Relationship to the Applicant: *
How do you know the Applicant and in what capacity (e.g. teacher, counselor, advisor, coach, etc...).
Your answer
How long have you known the Applicant? *
Your answer
1) Based on the responsibilities outlined for a Sempai, do you feel that this Applicant can successfully complete these duties? Why or why not? *
Your answer
2) How would you describe the Applicant's capacity for leadership? *
Your answer
In this next section, please rate Applicant in the following areas using the below scale: *
5 = Outstanding, 4= Very Good, 3 = Good, 2 = Needs Improvement, 1 = Unsatisfactory
5
4
3
2
1
Job Understanding (How you feel the Applicant could grasp the responsibilities for the role)
Quality of Work
Communication Skills
Cooperation
Reliability
Takes Initiative / Proactive
Team Player
Accepts & Respects Supervision
Ability to work without Supervision
Time Management
Attendance
Maturity
Is there anything else you'd like to tell us about the Applicant?
Optional
Your answer
By typing your name below, you agree that it is a representation of your signature. You affirm that the above answers are a true representation of your view of the Applicant. *
Please type your first and last name.
Your answer
Date *
MM
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DD
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YYYY
Thank you for your time! We appreciate your insight into the Applicant.
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