Leadership Greater Augusta

Participant Recommendation Form

                                                             has applied to the Leadership Greater Augusta (LGA) Program that will begin in September 2009.    Please take a few moments to provide the information requested below and return it by August 7, 2009 in the envelope provided. This confidential information will be shared ONLY with the LGA selection committee.  Thank you!

Person making recommendation:                                                                                  

Position title:                                                                                                                       

Organization:                                                          Daytime Phone:                                 

 

Please complete the information below and return form by August 7, 2009.

I have known this individual   personally  professionally for:
  less than 1 year   2-4 years   5-10 years   longer than 10 years

This person has demonstrated

Excellent

Good 

 Average

Fair

Poor

Don’t Know

 

Organizational skills     

 

 

 

 

 

 

Written communication skills    

 

 

 

 

 

 

Oral communication skills         

 

 

 

 

 

 

Flexibility         

 

 

 

 

 

 

Interest in professional development     

 

 

 

 

 

 

Interest in the community

 

 

 

 

 

 

Ability to work well with others

 

 

 

 

 

 

 

 

 

 

 


Other (please specify)                                                                                                              

Please use back of page for additional information/comments.

                                                                                                                                    Signature                                                                     Date

FAILURE TO RETURN THIS FORM BY August 7, 2009
WILL DISMISS THE APPLICANT FROM CONSIDERATION.

 

Leadership Greater Augusta, P. O. Box 1107, Fishersville, VA22939
       540/342-1133, 540/949-8203

 

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