Class of 2022 MCLP Participant Applicant Reference Form

MCLP Participant Applicant Information
MCLP Participant Applicant Name
If the applicant's name is not already pre-populated below, please enter it.
MCLP Participant Applicant Reference Information
Name of person completing reference
Please enter your name and the information requested.
Leadership Assessment

Please check the column that most accurately reflects your assessment of the nominee.

Superior = outstanding excellence of this nominee. Excellent = a strong rating. Good, Fair, and Not Applicable (NA) are self-explanatory.

SuperiorExcellentGoodFairNot Applicable or Not Observed
Esteem in which they are held professionally *
Demonstrated leadership *
Currently handles leadership responsibility *
Ability to work with others *
Communication skills *
Passion for becoming a better leader *
Overall leadership potential *
Please explain why you believe this nominee and our community will benefit through their participation in MCLP.
Do you have any additional observations about this individual that you would like to share?
Certification
For a participant to develop fully as a leader with the Multicultural Leadership Program takes a team effort. You, as reference for an applicant to the next MCLP class, have completed this form to the best of your ability. If the applicant is accepted into the program, you will become part of this individual’s circle of support. Although only the participant is allowed to attend MCLP learning events, the information can be shared with you by the participant. I understand this and pledge my cooperation and support.
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