CIT/TA Reference Form
This form is to be completed on behalf of the teen applicant for our Main IDEA Counselor-and-Training (CIT) and Teacher's Assistant (TA) Program for teens ages 13-17. Learn more at www.mainidea.org/staff/teens
Email address *
Teen Applicant's Name (First, Last): *
Your answer
Reference's (your) Name: *
Your answer
Reference's Relationship to Teen Applicant: *
Your answer
Reference's Phone Number: *
Your answer
Reference's Place of Work: *
Your answer
How many years have you known the teen applicant? *
Your answer
On a scale of 1 to 10 (1 being the least, 10 being the most), how would you rate the teen applicant for the following: *
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Emotional Maturity
Communication Skills
Teachability
Positive Attitude
Honesty
Cooperation/Ability to work well with others
Energy/Enthusiasm
Ability to relate to younger kids
Leadership
Respect for authority
What are the 3 greatest strengths of this applicant? *
Your answer
What are the 3 greatest areas of improvement for this applicant? *
Your answer
On a scale of 1 to 10 (1 being the least, 10 being the most), how strongly would you recommend this applicant for our Teen Leadership Program (circle one)?
By checking the box below, I indicate that the information provided on this application is true and complete. I understand that any false or misleading representations or omissions may disqualify the applicant from further consideration for the program and may result in discharge if discovered at a later date. I understand that completion of this application does not assure the applicant of a position with Main IDEA. I also understand that neither this application nor any other document constitutes a contract of employment for a specific term. *
Required
A copy of your responses will be emailed to the address you provided.
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