4-H Teens as Teachers Reference

University of Illinois Extension

McLean 4-H Teens as Teachers Reference Form
4-H Teen Teacher Reference Form

You have received this link to serve as personal reference for a youth who is applying to be a part of the 4-H Teen Teacher Team. The mission of the Illinois 4-H Youth Development program is to help youth learn skills for life. This program strives to develop these skills in youth by providing an informal learning structure through which they can set goals, learn at their own pace, practice skills, develop new attitudes, and apply what they have learned. Please provide your honest comments and thoughts regarding the applicant's current abilities and character. The Teen Teacher program goals include developing both abilities and character in its participants. The only way to help them improve/grow is to know his or her true abilities. Your comments will be kept confidential
Applicant's Name*
Reference Name*
Reference Email Address*
example@example.com
Reference Organization/Business Name*
Indicate how long and in what capacity or position you have known the applicant:*

Please evaluate the applicant's skills and qualities:*

	Excellent	Good	Fair	Not Known
Understanding of Self
Dependability
Flexibility
Decision Making Ability
Respect for Others
Initiative
Communication Skills
Enthusiasm
Independence
Sense of Humor
Resourcefulness
Leadership
Problem Solving
Ability to Follow
Teamwork
Positivity
Understanding of Difference
Advocacy (for self)
Advocacy (for others)

Please share your impression and knowledge of the applicant's qualifications for the position of Teen Teacher Team member by using specific examples where possible.
1. Does the applicant have the ability to work in a leadership role?*

YesNoUnknown
1.a. Please provide details for your response:*
2. Does the applicant have the ability to step back and follow?

YesNoUnknown
2.a. Please provide details for your response:*
3. What additional skills, abilities, and attributes does the applicant have that would be helpful as a part of this team? *
4. Describe the character traits that this applicant currently possesses and those the applicant could expand.*
5. How would you describe the applicant's willingness to work with others and learn from others?*
6. Would you be willing to put this applicant in a leadership position within your organization/business/school?*

YesNo
6.a. Please provide details for your response:*
7. Do you know any reason why this person should NOT be considered for this position?*

YesNo
7.a. Please provide details for your response:
Signature*

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Date*

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Date
Thank you for supplying critical information regarding this applicant!

University of Illinois * U.S. Department of Agriculture * Local Extension Councils Cooperating University of Illinois Extension provides equal opportunities in programs and employment. If you need a reasonable accommodation to participate in this program please contact the Extension office at (309)663-8306.
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