Mentor REFERENCE FORM
CHARACTER REFERENCE FORM FOR MENTOR:
Sign in to Google to save your progress. Learn more
Email *
Reference Name:
Reference Phone Number:
555-555-5555
Mentor's Name:
Cadets Name:
The Following Mentor, has applied to be a Mentor for the following Cadet at the NM National Guard Youth ChalleNGe Academy, located in Roswell, NM. They are being considered for a match with this Cadet in a one-on-one relationship. Please help us learn whether this person is suited for this type of work. We would be grateful if you would answer the questions on this form as fully and carefully as you can. Information received will be kept in confidence. We need it as part of their application. Thank you.
How long have you known the MENTOR?
How do you know this person?
Does the MENTOR have a good home relationship?
Clear selection
Does He/She work well with Others?
Clear selection
Please rate the prospective MENTOR in the following areas:
Personal Habits:
Clear selection
Character:
Clear selection
Compassion for Others:
Clear selection
Emotional Stability:
Clear selection
Maturity Level:
Clear selection
Receives Constructive Criticism:
Clear selection
Health:
Clear selection
Is there anything about this person that we should know before matching him/her as a Mentor with this young person?
If you were in our position, would you, without hesitation, consider using this person as a Mentor for a young person?
Clear selection
BY SIGNING YOUR NAME AND DATE ON THE FOLLOWING, YOU ARE ACKNOWLEDGING THE REFERENCE FORM RECOMMENDATION.
NAME AND DATE:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms