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Summer Seminar on Global Issues
Reference Form
References may include a teacher or mentor from school, an afterschool program, volunteer activity, etc. References from family members or guardians will not be accepted.
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* Indicates required question
Reference Name
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Your answer
Name of Student
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Your answer
Relationship to Student
Your answer
High School
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Your answer
On a scale of 1-10 (with ten being the strongest), please rate the applicant on the following characteristics
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1
2
3
4
5
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9
10
N/A
Analytical Skills
Public Speaking Skills
Leadership
Ability to work with others
Reliability
Ability to work independently
Interest in global issues
1
2
3
4
5
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7
8
9
10
N/A
Analytical Skills
Public Speaking Skills
Leadership
Ability to work with others
Reliability
Ability to work independently
Interest in global issues
Please feel free to include any personal observations about the student that would help us in making our selection
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Your answer
Reference Signature
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
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