Recommender’s Name*

First Last

Recommender’s Title*

Recommender’s Email*

Recommender’s Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Day*

Phone Evening*

Applicant's name*

First Last

School applicant attends*

School Phone number*

A. How long and in what capacity have you known the applicant*

B. The young person listed above has applied for participation in the Yad B’Yad leadership training program. Would you please offer your impressions of the candidate in the following areas, and especially as they relate to their participation in this intensive program.

1. Maturity*

2. Ability to follow instructions*

3. Interpersonal skills*

C. Please choose two positive adjectives that would best describe the applicant and indicate why you chose these in particular.*

D. Please choose two areas that are in need of improvement that would best describe the applicant and indicate why you chose these in particular.*

E. Overall Impression and Recommendation:*

Recommendation Letter