Youth Council Recommendation Form

All applicants must submit two (2) references from persons ages 18 and older along with their application. Using the following scale, please rate the applicant’s attributes.

Completed applications and recommendation forms are due Monday, April 28, 2025, by 4:00 pm.

Please email Hayley Poillucci if you have any questions.

Evaluator Contact Information

First and Last Name

Employer

Phone

Relationship to Applicant

Applicant's First Name

Applicant's Last Name

I certify that I am 18 years of age or older

Yes

The Applicant

Questions	Always	Sometimes	Rarely	N/A
Works well with others	Always	Sometimes	Rarely	N/A
Communicates clearly	Always	Sometimes	Rarely	N/A
Faces confrontation in an open manner	Always	Sometimes	Rarely	N/A
Interacts well with peers & adults	Always	Sometimes	Rarely	N/A
Listens & asks questions	Always	Sometimes	Rarely	N/A
Is able to accept criticism	Always	Sometimes	Rarely	N/A
Is willing to offer feedback	Always	Sometimes	Rarely	N/A
Volunteers to help at short notice	Always	Sometimes	Rarely	N/A
Is a self-starter	Always	Sometimes	Rarely	N/A
Follows through on commitments	Always	Sometimes	Rarely	N/A

Notes/Comments:

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Youth Council Recommendation Form

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