Westview High School State Seal of Civic Engagement Reference Form
Poway Unified School District would like to take the opportunity to acknowledge and recognize those students who demonstrate excellence in civics education and leadership in their classroom, school, community and/or society. Through their insight into societal problems, determination to take action, and thoughtfulness in reflection, they showcase what it means to graduate as a civically engaged citizen.  

Please note that parents may NOT submit references on the behalf of their child. 
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Email *
You have been identified as a reference for a student applying for California's State Seal of Civic Engagement.  There are 5 criteria for earning this award.  Your completion of this reference form addresses Criteria 5:  Exhibit character traits that reflect civic-mindedness and a commitment to positively impact the classroom, school, community and/or society.  
What is your name? *
What is your email? *
What is the best contact number for you? *
What is your occupation? *
What is your relationship to the student applicant. *
What is the first name of the student applicant? *
What is the last name of the student applicant? *
Which PUSD high school does the student attend? *
Briefly describe a civic engagement project or activity that this student has participated in while in high school? (1 or 2 sentences) *
Please describe why you feel this student's community activities have left a positive contribution in the community they are serving? *
Briefly describe the student's civic minded character traits.   *
A copy of your responses will be emailed to the address you provided.
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