Character Reference Page 2
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1
2PERSONAL AND CONFIDENTIAL
CHARACTER REFERENCE
Date: ___________
Address:______________________________
______________________________
______________________________
Phone Number: ______________________________
Please state how you know this National Honor Society candidate:
( ) Family Friend ( ) Employer ( ) Community Leader
( ) Other (Please explain): ____________________________________________________________
How long have you known the candidate? _________________________________________________
STATEMENT:
__________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature ________________________________ Print name ________________________________
Additionally, please evaluate the National Honor Society candidate using the chart below.
Does this Candidate: (Check the appropriate response.)
Make a contribution to school?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Give back to the community?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Keep his/her word?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Value an education?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Tolerate different opinions?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Exhibit a positive attitude?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Stands up for what he/she believes?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Set a good example?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
Demonstrate integrity?
Very Strong
Very Good
Good
Could
Do Not Know
Improve
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Parent category: Letters