Reference Form - Georgia Department Of Human Services Youth Empowerment Series Page 2

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Please rate the applicant in each of the attributes below:
1
2
3
4
Not
Below
Average
Above
Outstanding
Observed
Average
Average
Dependability
Follows through on
commitments
Co-operativeness
Able to work well with peers
and adults
Potential
Demonstrates potential to
succeed personally and
professionally when motivated
Open-Mindedness
Gives thoughtful consideration
to feedback and differing
opinions
Respectful
Expresses respect towards
those who he/she interacts
with
What are your first thoughts when you think of the applicant?
What are his/her strengths?
Additional comments

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00 votes

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