ESA Royal Belle Reference Form

2021-2022 Debutante Recommendation

The Elite Scholars Academy of Ivy Elite High Honors Society
Name of Prospective Debutante
is applying to participate in the 2021-2022 Elite Scholars Academy Royal Belle Program and Debutante Pageant presented by Ivy Elite. Ivy Elite is a 501c3 and trademarked organization serving K-12 and collegiate students through the nation. Please complete the following form by July 15, 2021.
How long have you known the applicant?
What is your relationship to the applicant?
Leadership Ability

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Self-Confidence

ExcellentAbove AboveAverageBelow AverageNo Opportunity to Observe
Maturity

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Dependability

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Integrity

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Personable Personality

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Intellect

ExcellentAbove AverageAverageBelow AverageNo Opportunity to Observe
Overall Impression of Applicant

Enthusiastically RecommendRecommendRecommend with some reservationsDo not recommend
Please provide any additional relevant information about the applicant.
Recommendation provided by

First NameLast Name
Reference Signature
Date

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
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2021-2022 Debutante Recommendation