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ASB Referral Form 2019/2020
Get referrals from people easily with this short and effective referral form
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1
Your Name
First Name
Last Name
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2
Your E-mail
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3
Your Title & School (if not VHS)
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4
Student Name
First Name
Last Name
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5
Long student number or student email
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6
Student Grade
Incoming 9th grader
Incoming 10th grader
Incoming 11th grader
Incoming 12th grader
Incoming 9th grader
Incoming 10th grader
Incoming 11th grader
Incoming 12th grader
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7
Position student is applying for if known
ASB class member
Class Officer
Committee Lead
Executive Member
ASB class member
Class Officer
Committee Lead
Executive Member
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8
COMMITMENT (1 being little to no, 10 being constant, all the time)
Does the student successfully remain focused on the goal at hand? Does the student complete what he/she begins?
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9
COMMUNICATION SKILLS (1 being little to no, 10 being constant, all the time)
Does the student successfully demonstrate communication skills? Is he/she articulate and detailed in speech?
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10
DEPENDABILITY (1 being little to no, 10 being constant, all the time)
Is the student reliable? Is the student capable of earning another’s trust?
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11
ORGANIZATION SKILLS (1 being little to no, 10 being constant, all the time)
Does the student demonstrate great organizational skills? Is he/she neat and orderly with his/her work?
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12
TEAMWORK (1 being little to no, 10 being constant, all the time)
Can the student efficiently work with his/her peers? Is he/she capable of working with strangers to complete a common goal?
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13
WORK ETHIC (1 being little to no, 10 being constant, all the time)
Does the student work hard to complete the task at hand? Does he/she demonstrate self-pride in his/her work?
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14
COMMENTS
Please add anyadditional comments about this student:
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Should be Empty:
ASB Teacher Recommedation Form
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