2023 CMT Reference Form

CMT REFERENCE FORM

If you have any accessibility issues with our form and need an alternate application form, please contact us at 919.513.0148 or sheltonchallenge@ncsu.edu

Thank you for serving a reference for the CMT applicant. Please review and complete the following questions. Note: references cannot be related to the applicant.

The following requirements are preferred of individuals applying to serve as aCMT for the 2023 Shelton Challenge:
- Must be at least a first-year student in college OR a graduating high school senior who has served as a Peer Leader for at least two years with the Shelton Challenge
- Experience working with teams
- Experience with service-learning and reflection techniques (preferred)
- Experience or desire to work with youth (preferred)
The Red Hat Shelton Challenge is a six-day, residential program built on Shelton's core values - honesty, integrity, diversity, social responsibility, and compassion - and is designed to help high school students enhance their capacities to become values-based leaders. The program invites rising ninth through twelfth graders to be part of a university campus community for the week and participate in activities designed to teach leadership concepts such as ethical decision-making, civic and social responsibility, effective communication, teamwork and collaboration, how to motivate others, and goal setting.

CMTs need to display a high level of maturity, confidence, and positive energy. They will be a major support role for Shelton Challenge staff and need to understand the importance of clear communication and time management.
Your Name*

First NameLast Name
Your Email*
example@example.com
Peer Leader Applicant Name*

First NameLast Name
Your relationship to the applicant *
ie: coach, teacher, etc.

ASSESSMENT OF APPLICANT

Please read through the following statements about the applicant and select the choice that best reflects your opinion.
The applicant is mature and responsible.*
The applicant has a high degree of personal integrity.*
The applicant works well in team-based activities.*
The applicant regularly expresses concern for others.*
The applicant handles difficult situations and/or conflict productively.*
Please respond to the following statements.
The Shelton Challenge is meant to be a developmental program for all involved. Please explain the strengths of and potential areas of growth for the applicant.*
Please describe a time when you have seen the applicant act as a leader.*
If desired, please provide any additional information you think is important to share about the applicant.
Should be Empty: