Leadership Development Reference Form




Your confidential evaluation of this indidividual in regards to the items listed is appreciated. Using the following guidelines, please rate the applicant in the following general areas by selecting the appropriate option.

Excels - Performance significantly exceeds acceptable requirements. Good - Performance exceeds acceptable requirements. Average - Performance meets acceptable requirements.

Fair - Performance less than acceptable requirements. Poor - Performance significantly below acceptable requirements. N/A - Performance not demonstrated or observed.

Achievement orientation
Concern for quality and order
Interpersonal skills
Impact and influence on others
Relationship building
Teamwork and cooperation
Analytical thinking
Conceptual thinking
Self-control, stress resistance
Attitude toward supervision
Professional appearance
Overall rating

May we contact you if we have additional questions about this applicant?

Thank you for taking the time to provide your assessment of this candidate. Your opinions are very valuable in helping us to match applicants with placement opportunities.