Cincy Next Reference Form
Submit by October 15, 2024
Applicant's Name
*
First Name
Last Name
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Job Title
*
Company/Organization
*
Have you taken part in a Chamber leadership program? If so, which one?
Leadership Cincinnati
C-Change
WE Lead
Cincy Next
Power Squad
WE Ascend
WE Succeed
Leadership Action
Building Cultural Competence
Other
Your Relationship to the Applicant
*
How long have you known the applicant?
*
In what context do you know the applicant?
What is the greatest strength you see in this person? Explain how you have seen it used.
*
Describe the leadership competencies this person exhibits. Explain how you have seen these used.
*
What do you hope this candidate will learn or discover through Cincy Next that will further contribute to their organization?
*
Cincy Next is a competitive program. The more we know, the better. Please provide any other thoughts you have as to why this person would be an asset and key contributor to this year's Cincy Next program.
*
Submit
Should be Empty: