2025 Valo Reference Form

Thank you so much for taking the time to respond to the following questions on behalf of this young person in your life. Please email programs@valomaine.org if you have any questions!

1. What is your name?*

2. What is your email? *

3. What is the name of the teen you are sharing this reference for?

First Name*

Last Name*

4. In what capacity do you know this teen? And for how long?*

5. What are the first words that come to mind when you think of the applicant?*

6. Much of our learning takes place in a group setting. Can you tell us how this applicant might respond to that environment?*

7. Communication (particularly in conversations) is an essential element of valo. How would you describe the applicant's communication style and capacity?*

8. We expect youth to be open minded and willing to take safe risk. Can you describe a moment the applicant showed openness or put themself "out there?"*

9. What challenges do you think the applicant might face participating in Valo's program and/or do you have any reservations about their participation? (we believe challenges are an opportunity for growth, so please be candid!)*

Reference Complete Date

Date

Salesforce ID