Leadership St. Louis Recommendation Form

Leadership St. Louis

Name of Applicant*
First Last
Name of Reference*
First Last
Email*
Please evaluate the applicant in the categories below.
Commitment to the St. Louis region*
- Exceptional
- Above Average
- Average
- No basis for evaluation
Leadership in chosen profession*
- Exceptional
- Above average
- Average
- No basis for evaluation
Leadership in the community*
- Exceptional
- Above average
- Average
- No basis for evaluation
Openness to new ideas and ways of thinking*
- Exceptional
- Above average
- Average
- No basis for evaluation
Social sensitivity*
- Exceptional
- Above average
- Average
- No basis for evaluation
Self-confidence*
- Exceptional
- Above average
- Average
- No basis for evaluation
Ability to relate to others*
- Exceptional
- Above average
- Average
- No basis for evaluation
How long and in what capacity have you known the applicant?*
Additional comments are welcome and helpful.
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