C-Change Reference Form
Submit by October 15, 2024
Applicant's Name
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First Name
Last Name
Your Name
*
First Name
Last Name
Your Email Address
*
example@example.com
You Job Title
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Company/Organization
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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
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How long have you known the applicant?
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What is the greatest strength you see in this person? Explain how you have seen it used.
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Describe the leadership competencies this person exhibits. Explain how you have seen these used.
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What do you hope this candidate will learn or discover through C-Change that will further contribute to their organization?
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C-Change 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 C-Change program.
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Submit
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