2023 HIGHER Ground Nomination/Reference Form

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2023 HIGHER Ground Women's Leadership Development Program Nominator/Reference Form

Thank you for providing a reference for the 2023 HIGHER Ground Women's Leadership Institute. The following questions will ask for different types of information regarding the applicant. You can close out and come back to the form and your data will be saved. A confirmation email will be sent upon successful completion and submission of the form.

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First Name

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Last Name

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Phone Number

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Professional Title

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Organization

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Candidate First Name

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Candidate Last Name

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How long have you know this candidate? Please describe your affiliation.

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Please answer the following questions to affirm your endorsement of the candidate for participation in the program. Your responses are confidential (between yourself and the application review team) and will be used in the aggregate with other references/nominators and the candidate's responses for planning of program content.

Successfull candidates will:

1. Exhibit the skills, potential, and desire to take a significant role in leading in their organization and communities;
2. Express the desire to further develop their skills and abilities;
3. Be employed at an organization level of leadership, hold significant responsibilities in the organization, or show promise for leadership roles
4. Commit to participate fully in all scheduled class sessions
5. Represent a diversity of gender, race, and ethnicity; and
6. Have the support and commitment of their employer to participate fully in the HIGHER Ground Women’s Leadership Development Program.

1. Why are you nominating/recommending this candidate? Please comment on the candidate's leadership abilities and potential.

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2. What three (3) objectives would you set for the candidate to achieve?

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3. Comment on the candidate's motivation for organizational and community leadership roles.

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4. What are the candidates three (3) greatest strengths and three (3) weaknesses?

	Strengths		Weaknesses
1.		1.
2.		2.
3.		3.

5. What qualities of the candidate could the program help develop?

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