Project CENTRL Recommendation
This form is to be completed by the person making the recommendation and not a relative of the candidate. The Project CENTRL experience is designed for those who have demonstrated leadership potential to meet the needs of rural Arizona.

Project CENTRL a twelve-month, competitively selected and tuition-free leadership development program for 16 individuals connected to rural Arizona. Over the course of 9 seminars across Arizona, Washington, DC and Sonora, MX we build personal leadership skills, educate on the issues facing rural Arizona and connect leaders and experts. There are over 650 alumni making a difference in their communities including 6 serving in Arizona’s 54th Legislature.

Thank you for your assistance in judging this candidate through your evaluation of his/her abilities and attitudes. Your recommendation is an important part of the candidate’s application packet and will be held in strict confidence.
Email address *
Please complete this form before MARCH 15
Project CENTRL Candidate you are Recommending: First Name *
Your answer
Project CENTRL Candidate you are Recommending: Last Name *
Your answer
The CENTRL Candidate asked me to make my recommendation as: *
My First Name *
Your answer
My Last Name *
Your answer
My Address Number & Street *
Your answer
My City *
Your answer
My State *
Your answer
My Zip *
Your answer
My Phone Number *
Your answer
We need your frank and confidential responses to these questions based on your knowledge of this candidate.
Please rate the following characteristics about the Candidate you are recommending: *
Excellent
Good
Fair
Esteem in which he/she is held in the community
Ability to communicate effectively
Demonstrated leadership
Ability to work effectively with others
Overall assessment of leadership potential
State the nature and duration of knowing the candidate *
Your answer
How do you feel this candidate and rural Arizona would benefit from his/her participation in the Project CENTRL leadership program? *
Your answer
By typing my name below, I verify the information above is accurate and complete.
Please type your First and Last Name as your digital signature. *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Arizona. Report Abuse