Form

American Red Cross Leadership Development Camp 2022

NEW CAMPER REFERENCE FORM

The youth who forwarded this form to you is seeking to participate in a teen leadership camp sponsored by the American Red Cross. LDC is a 4-day conference for area youth, ages 13 - 17 and entering grades 8 - 12 in the fall of 2022. These youth are seeking to grow their leadership skills by participating in the large and small group activities, classes, keynote sessions and structured experiences that comprise camp.

The youth's application will not be considered until we receive the one required reference. Please take a few moments to complete and submit this form to us as soon as you are able. Thank you for your support!

***PLEASE NOTE THAT REFERENCES MUST BE COMPLETED BY NON-RELATIVE ADULTS IN ORDER TO BE CONSIDERED***

Camper Applicant's Name

Reference Name

Reference E-mail

Reference Phone Number

How long and in what capacity have you known this applicant?

Please rank the applicant from 1 - 5 in the following areas, with 1 = Below Average and 5 = Outstanding

Achievement or Academic Progress (Quality of work or grades)

Don't Know

Attendance/Reliability (Class work or attendance/reliability)

Don't Know

Attitude/Cooperation (Relationships with others)

Don't Know

Communication Skills (Ability to express ideas)

Don't Know

Leadership (Judgment and ability to lead and influence)

Don't Know

Motivation (Initiative, resourcefulness, self-starter)

Don't Know

Potential for success (Ability to set/achieve goals)

Don't Know

Work Habits/Organizational Skills (Ability to plan, manage and execute)

Don't Know

LDC is planned and led by a team of highly trained high school students, and most sessions are peer-led. Discuss the applicant's ability to accept the authority of a peer in this type of setting. Please site specific examples.

Reply here

Discuss this applicant's ability to successfully navigate a 4-day conference if no one he/she knows is in attendance.

Reply here

Please provide any additional comments or observations that will support this applicant's selection for camp.

Reply here

Please indicate the option that best reflects your recommendation of this applicant

Highly recommend

Moderately Recommend

Do Not Recommend

Thank you for completing this information. We appreciate your support of this applicant and our camp. For more information please visit: www.redcross.org/cincinnati

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LDC 2022 New Camper Reference Form

American Red Cross Leadership Development Camp 2022

NEW CAMPER REFERENCE FORM

Please rank the applicant from 1 - 5 in the following areas, with 1 = Below Average and 5 = Outstanding