Recommendation Form- Illinois 4-H Youth Leadership Team

Recommendation Form

Illinois 4-H Youth Leadership Team
Recommendations

Thank you for taking the time to fill out a recommendation form for the 4-H member applying for the Illinois 4-H Youth Leadership Team. Please fill out the following survey about the 4-H member who contacted you as a reference. If you have any questions or need assistance please contact the Illinois 4-H Leadership Specialist, Katie Duitsman at pilcher3@illinois.edu.
Name of Applicant*

First NameLast Name
Name of Evaluator*

First NameLast Name
Title*
Organization*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Evaluator, please rate the applicant on the following categories.

Please note: The applicant will not see this recommendation form. Family members should NOT be asked to complete Reference Evaluations. Written recommendation letters may not be used in lieu of this form.

Leadership

	Unknown	Poor	Below Average	Average	Above Average	Excellent
1.Ability to work with different & diverse audience
2. Does fair share of work on joint projects; is an effective team member
3. Communicates ideas effectively
4. Ability to get others to work together; compromise
5. Manages group and individual resources carefully (time, funds, etc.)
6. Is respected by peers
7. Actively participates in meetings and discussions.

Mentoring

	Unknown	Poor	Below Average	Average	Above Average	Excellent
1. Listens and guides mentees effectively (is not "bossy")
2. Serves as an appropriate role model
3. Accepts guidance from others
4. Exhibits enthusiasm in teaching specific subject matter
5. Ability to support the leadership of others
6. Willingly interacts with and guides younger peers and children

Professionalism

	Unknown	Poor	Below Average	Average	Above Average	Excellent
1. Positive attitude, growth mindset
2. Dresses appropriately for the situation
3. Accepts and completes work assignments in a timely matter
4. Exhibits enthusiasm in obtaining new knowledge
5. Demonstrates professional behavior
6. Exhibits appropriate behavior in public spaces; represents themselves well
7. Demonstrates a respect for leadership
8. Ability to speak or facilitate workshops

Additional Questions
Please describe what you see as the applicants' best leadership qualities.*

0/500
In your opinion, what skills would the applicant need to improve upon to become a better leader?*

0/500
What support do you think the applicant would need in order to perform at their highest level as a member of the Illinois 4-H Youth Leadership Team*

0/500
Overall recommendation of 4-H Member*
Any additional comments
Signature*

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Recommendation Form