General Reference

Name of applicant you are referring
First Last
Referrer Information
Your name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
How well do you know the applicant?*
- Slightly
- Casually
- Fairly well
- Very well
Please describe your relationship with the applicant and how long you have known him/her.*

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Applicant Information - Part 3
Describe how the applicant responds to authority:*
Describe the applicant's musical abilities:*
On the basis of all of the information above, the applicant is:*
- Strongly recommended with the highest assurance
- Recommended with confidence
- Recommended with some reservation
- Not recommended
Please add any additional information or comments that you may have about the applicant or anything in the applicant's background of which you feel we should be aware.
Signature
Date
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

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	Poor	Minimal	Average	Good	Excellent
Sociability
Self-confidence
Adaptability
Emotional stability
Servant attitude
Ability to communicate clearly
Positive, contagious spirit
Teachable attitude
Ability to receive correction
Ability to make decisions
Ability to deal with interpersonal conflicts
Ability to handle stress

Referrer Information