Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Write On for Israel Cohort 18 Application Reference form

This is a candidate reference for a student who has applied to participate in Write On for Israel for 2021-2022 Write On for Israel is a yearlong fellowship that emphasizes leadership development and scholarship through the lens of the Israel conversation.

This reference form must be submitted for a student's application to be complete.

Candidate Information

First Name of Candidate

Last Name of Candidate

Referral Information

First Name of Referrer

Last Name of Referrer

Business/Organization

Title

Phone number

Please provide at least one phone number

Relationship to applicant

How long have you known the applicant?

Describe the circumstances under which you have come to know the applicant.

What special skills or gifts does this applicant have that are likely to make him/her successful in Write On for Israel?

How would you assess the applicant in the following areas?

	Below Average	Average	Above Average	Outstanding
Oral Communication
Listening
Teamwork and Cooperation
Organization
Leadership
Reliability
Dress and Demeanor
Social Skills
Ability to engage respectfully with differing views

Are there any observations you would like to make about this applicant that might influence his/her acceptance into this program?

This Write On for Israel Candidate Reference Form is meant to be filled out and submitted by a teacher or other adult advisor who can attest to suitability of the referred applicant. By affixing my electronic signature below, I acknowledge that I have filled out this form honestly and to the best of my knowledge, no other parties have filled out this form on behalf of me and I am aware that I may be contacted to verify the contents of this referral form.

Digitally sign by affixing your full name, followed by the date:

example: John Smith, 1/1/15

If you have questions about this form or about the Write On for Israel program, please send an email to elizabethnordmeyer@juf.org or visit www.juf.org/writeon

Save my progress and resume later | Resume a previously saved form