Project CENTRL Recommendation

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This form is to be completed by the person making the recommendation and not a relative of the candidate. The Project CENTRL experience is designed for those who have demonstrated leadership potential to meet the needs of rural Arizona.

Project CENTRL a twelve-month, competitively selected and tuition-free leadership development program for 16 individuals connected to rural Arizona. Over the course of 9 seminars across Arizona, Washington, DC and Sonora, MX we build personal leadership skills, educate on the issues facing rural Arizona and connect leaders and experts. There are over 700 alumni making a difference in their communities including 5 serving in Arizona’s Legislature.

Thank you for your assistance in judging this candidate through your evaluation of his/her abilities and attitudes. Your recommendation is an important part of the candidate’s application packet and will be held in strict confidence.

Email *

*While an email address is required, it does not need to be a GMAIL address and you do not have to be signed into GMAIL. If you'd like to save your work and return, you must be signed into a GMAIL account. Otherwise, use the pdf/word reference materials to complete your work ahead of time and fill out this form in one sitting.

Please complete this form before MARCH 15

Project CENTRL Candidate you are Recommending: First Name *

Project CENTRL Candidate you are Recommending: Last Name *

The CENTRL Candidate asked me to make my recommendation as: *

a Personal Recommendation

a Professional Recommendation

My First Name *

My Last Name *

My Address Number & Street *

My City *

My State *

My Zip *

My Phone Number *

We need your frank and confidential responses to these questions based on your knowledge of this candidate.

Please rate the following characteristics about the Candidate you are recommending: *

Excellent

Good

Fair

Esteem in which he/she is held in the community

Ability to communicate effectively

Demonstrated leadership

Ability to work effectively with others

Overall assessment of leadership potential

State the nature and duration of knowing the candidate *

How do you feel this candidate and rural Arizona would benefit from his/her participation in the Project CENTRL leadership program? *

By typing my name below, I verify the information above is accurate and complete.

Please type your First and Last Name as your digital signature. *

A copy of your responses will be emailed to the address you provided.

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