Reference Form - Global Leadership Program Winter Session 2021

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TO THE APPLICANT: Reference Form to be completed by an adult who knows you well, other than a parent/guardian or relative. The comments will be used for program selection purposes only. You need to submit two (2) references to complete your application.

TO THE PERSON MAKING THIS REFERENCE: The student applicant for the Global Leadership Program has requested that you complete this form as his/her reference. The program leaders attach considerable weight to the statements made by references of the applicant. They are aware of the time necessary to prepare such an assessment and gratefully acknowledge your help.

APPLICATION DEADLINE: Friday, January 15th, 2021

If your have any questions please contact Laura Kauffman at lkauffman@pearlsbuck.org or 215-249-0100, ext. 128.

Last name *

First name *

Phone *

Email address *

Name of student applicant *

1) 1 How long and in what capacity have you known the applicant?

2) What are the applicant’s primary talents and strengths?

3) What is the applicant’s main challenge? *

4) Please comment on the applicant’s communication and behavior with his or her peers, if you are able to. *

5) Please comment generally on the applicant’s interest in community affairs and potential for leadership. *

Please sign and date this application below. *

Submit

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