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Baylor
>
Christian Leadership Institute
> Referral Form
Referral Form
*Indicates Required Field
Name of Candidate
*First Name:
*Last Name:
Name of Evaluator
*First Name:
*Last Name:
*Title:
*Institution:
*Institution Address:
*City:
*State:
*Zip:
*Instituion Phone:
(
)
-
Institution Fax:
(
)
-
*1. How do you know the candidate?
*2. How many years have you know the candidate?
*3. Please rate the candidate with respect to each characteristic listed below.
Characteristics
Exceptional
(top 5%)
Superior
(next 10%)
Average
(next 35%)
Below Average
(bottom 15%)
Leadership ability
Interpersonal skills - peers
Interpersonal skills - adults
Motivation to learn
Influence over others
*4. What characteristics do you see as the candidate's strengths and weaknesses as they relate to his or her potential for leadership in the future?
*5. What specifically would you like the candidate to take away from the Christian Leadership Institute?
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