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Leadership U 2022 Reference Form
Leadership U 2022 Reference Form
Chris Margeson
2021-12-30T11:24:48-05:00
Name of Reference
*
First
Last
Student Name
*
First
Last
Reference Position/Title
*
Student's High School
*
Archbishop Spalding
Atholton
Calvert Hall College High School
Centennial
Chapelgate Christian Academy
Fusion Academy
Glenelg
Glenelg Country
Hammond
Homeschool
Howard
Jemicy Upper School
Long Reach
Loyola Blakefield
Marriotts Ridge
McDonogh
Mt. Hebron
Mt. De Sales Academy
Mt. St. Joseph
Notre Dame Prep
Oakland Mills
Our Lady of Good Counsel
Park School of Baltimore
Reservoir
River Hill
Sandy Spring Friends School
The Excelsior Academy
Wilde Lake
Indian Creek School
Other
Affiliation (School/Business/Other)?
*
Contact Phone Number
*
Business Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
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