The applicant listed below has requested your evaluation be included as part of the application used to select members of Leadership Arlington's Young Professional Program. Your perspective of the applicant's past, current or potential for community involvement and/or professional background will provide the selection committee information on which to base its decision.Please submit this form no later than August 1, 2012. Contact Liz Nohra, Chief Operating Officer at 703-528-2522 or LNohra@LeadershipArlington.org with any questions.
Applicant's Name *
Applicant's Organization *
The above applicant has requested your evaluation be included as part of the application used to select members of Leadership Arlington’s Young Professional Program. Your perspective of the applicant’s past, current or potential for community involvement and/or professional background will provide the selection committee information on which to base its decision.
Please call us at 703-528-2522 with any with any questions.
How long have you known the applicant? *
In what capacity do you know the applicant? *
Please tell us why this candidate has potential to influence change as a leader. *
Please give an example of a leadership role you in which you have seen this candidate perform. *
Please share with us any unique aspects of this candidate's background that would contribute to membership *
Name of Reference *
Organization *
Title *
By checking this box, I certify that the information contained in this form is true and accurate. *
Date ... *
Please type the letters and numbers as you see them (case sensitive):