Recommendation Form (to be completed by an Adult Mentor)
Glendale Mayor's Youth Advisory Commission
Student Candidate Name
*
First Name
Last Name
School Name:
*
Evaluator Information:
Evaluator Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
How long have you known this student?
*
What is your relationship with this student?
*
Please rank this student on a scale of
1
to
10,
with 10 being the highest:
Attitude
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Initiative
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Responsibility
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Respect
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Leadership
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Ability to get along with others
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Ability to accomplish projects
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Please share your opinion regarding this student's POTENTIAL:
*
Please share your opinion regarding this student's LEADERSHIP ABILITY
*
In your opinion, can this student manage their time well enough to participate in a demanding activity without problem? Please explain.
*
What do you see as this student's most unique quality and how will the Mayor's Youth Advisory Commission benefit from this?
*
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