La Vida Intern Reference Form

La Vida Intern Reference Form
Applicant's name*

First NameLast Name
Your name*

First NameLast Name
Your phone number*
Please enter a valid phone number.
Your email
example@example.com
How long have you known the applicant?*
How do you know the applicant (in what capacity)? *
Please rank the applicant's leadership potential.*
Please rank the applicant's emotional maturity.*
Please rank the applicant's judgment and decision-making skills.*
Please rank the applicant's work ethic.*
Please rank the applicant's integrity.*
Please rank the applicant's communication skills.*
Please rank the applicant's ability to work with others.*
Please rank the applicant's dependability.*
Please rank the applicant's ability to grow and/or learn new skills.*
Please rank the applicant's faith commitment.*
Share any clarifying comments you have for the above responses.
Listed below are traits that may limit the applicant's effectiveness in some positions. Please check any traits you have observed in the applicant. (The presence of these traits will not automatically disqualify an applicant from a leadership position.)*

ArgumentativeCockyControlling or domineeringEasily depressedEasily discouragedEasily embarrassedEasily irritatedFrequently worried, anxious, or nervousGiven to exclusive and absorbing relationshipsImpatientInflexibleLazyPrejudiced toward groups, races, or nationalitiesVery critical or jokingly criticalWithdrawn or overly quietOther - please explain belowNone observed
Share any clarifying comments about traits checked in the previous question.
What are three of the applicant's strengths?*
What are three areas in which the applicant needs further development?*
What leadership traits does this applicant possess?*
La Vida interns have responsibility for programming, team-building, adventure activities, working with peers, and being a role model. Based on your knowledge of the applicant, please explain how you feel that he or she would perform in a leadership position.*
Do you recommend this individual for a position with the La Vida Intern program?*
Do you have any additional comments you would like to share?*
Should be Empty: