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LSS Mentor Recommendation
Thank you for taking time to complete this form.
Reference Name
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Reference Email
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Reference Phone
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Name of Applicant
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Relationship to Applicant
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Mentors are a vital part of the Leadership & Service Summit Mentee experience at Wartburg College. These students will have the responsibility of serving as mentor for 2-3 high school students for an academic year. Mentors are a part of a team who assist in the planning, coordination, implementation and evaluation of LSS, a summer institute for high school seniors to study and practice leadership skills and service as a form of community and civic engagement. Please assist us in our selection process by providing an honest appraisal of the applicant’s strengths and weaknesses.
Evaluate the following statements.
Uncertain/unable to observe
Qualities Insufficient
Qualities Need Improvement
Average Qualities
Above Average Qualities
Superior Qualities
This student has a positive attitude:
This student is able to communicate his/ her thoughts well:
This student is motivated in approaching new situations and able to carry work through to completion:
This student would be a good representative of the Wartburg community:
This student can succeed in both individual and group settings:
I recommend this student as an LSS Mentor:
Highly recommend
Recommend
Recommend with reservations
Do not recommend
Please provide any additional comments that might be helpful in our selection process.