City of Goodyear

Reference Form for Youth Commission

You are being asked to provide a reference on behalf of the student who is applying for the Goodyear Youth Commission. Please complete and submit this form at your earliest convenience.

YOUTH COMMISSION REFERENCE

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YOUTH COMMISSION REFERENCE

Name of Student:

Name of Reference:

Contact Phone:

Email Address

How long have you known this student?

What is your relationship with this student?

Please rank this student on a scale of 1 to 10 (with 10 being the highest):

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Please rank this student on a scale of 1 to 10 (with 10 being the highest):

Attitude

Initiative

Responsibility

Respect

Leadership

Ability to get along with others

Ability to accomplish projects

Please share your opinion regarding this student on the following topics:

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Please share your opinion regarding this student on the following topics:

Potential:

Leadership Ability:

In your opinion, can this student manage time well enough to take on another demanding activity without problem? Explain.

Tell us what you see as this student's unique qualities and how Goodyear Youth Commission will benefit from including this student as a member.

Thank you for taking the time to submit a reference on behalf of this student.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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