Junior Leadership Manatee Reference Form
The JLM Selection Committee is very interested in the statements that you make in regard to the student applying for the 2026-27 Junior Leadership Manatee program. The Committee is aware of the time necessary to prepare this assessment and gratefully acknowledges your help. If you have any questions, please email chair@juniorleadershipmanatee.org. You can be a reference for more than one applicant. Family members cannot be a reference for the applicant.
Name of student whom you are providing a reference
*
First Name
Last Name
Your Name
*
First Name
Last Name
Your Position/Title
*
Your Firm/Organization
*
Your Organization's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email
*
example@example.com
How long, and in what capacity, have you known this applicant?
*
What are the first words that come to your mind when describing the applicant?
*
What do you consider to be the applicant’s primary talents or strengths?
*
Please comment on the applicant’s respect for adults.
*
Please comment on the applicant’s relationship with his/her peers.
*
I recommend this student:
*
With Reservations
Fairly Strongly
Strongly
Enthusiastically
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