Leadership U 2022 Reference Form - Leadership Howard County

Name of Reference*

First Last

Student Name*

First Last

Reference Position/Title*

Student's High School*

Affiliation (School/Business/Other)?*

Contact Phone Number*

Business Address

Street Address Address Line 2 City State ZIP Code

Home Address

Street Address Address Line 2 City State ZIP Code

Email*

Applicant Relationship

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

Applicant Relationship*

Talents/Strengths

What do you consider to be the applicant’s primary talents or strengths? Please give EXAMPLES of each.

Talents/Strengths

Leadership

Describe one situation where you observed the applicant in a leadership role.

Leadership

About the Applicant

Please share additional information about the applicant (leadership potential, commitment to community service, ability to work with peers,etc.) that will help us get to know the applicant.

About the Applicant

Applicant Relationship

Talents/Strengths

Leadership

About the Applicant

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