Please send the following form to two people who have supervised you as an employee or volunteer. All references must be in a sealed envelope and signed across the back. References must be received by Febuary 15, 2012. An application will not be considered without completed references. If this presents difficulty, please contact us immediately.
____________________________________is applying to be a member of the Episcopal Peace Fellowship Young Adult Initiative at General Convention 2012. The Young Adult Initiative is designed to bring activist young adults together to observe and participate in the work of our General Convention. This team of ten young adults ages 18-30 will commit to monitoring legislation, speaking on behalf of issues of peace and justice, assisting with reporting of the work of peace making at Convention and participating in the caucusing sessions and special events of the Convention. Funded by EPF, this program provides participants with free housing and a per diem for food, along with (if needed) a modest subsidy to help defray the cost of transportation. The 2012 YAI will be co-led by Jessie Vedanti and Megan Anderson
This will be a demanding program during a demanding General Convention. Please evaluate honestly the applicant’s ability to thrive in this program. Thank you for your time.
Reference’s Name: ______________________________
Title/Position: _______________________________________________________
Address: ___________________________________________________________
Phone:_________________________________
Email: _________________________________
Please address the following questions:
1. In what capacity and for how long have you known the applicant?
2. Please address the applicant’s strengths and areas for growth. Please use specific examples from your experiences with him or her.
3. Please address the applicant’s commitment to social issues; ability to work as part of a team;relationship to authority; and ability to effectively handle conflict. (If not addressed above).
4. Is there anything else that would be helpful for us to know about this applicant?
Please rate the applicant with respect to the following traits:
Ability to work with peers Exceptional Very Good Good Fair
Emotional Maturity Exceptional Very Good Good Fair
Flexibility Exceptional Very Good Good Fair
Dependability Exceptional Very Good Good Fair
Inter-Personal Skills Exceptional Very Good Good Fair
Problem solving Skills Exceptional Very Good Good Fair
Writing Ability Exceptional Very Good Good Fair
Verbal Communication Skills Exceptional Very Good Good Fair
Intellectual Ability Exceptional Very Good Good Fair
Overall Recommendation:
__Highly Recommend
__Recommend
__Recommend with Reservations
__Do Not Recommend
Reference’s Signature___________________________________
Date____________________________
Please place your recommendation in a sealed envelope with your signature across the back and return it to the address below. References must be received for an application to be complete. Applications are due no later than February 15, 2012.
Episcopal Peace Fellowship
637 S. Dearborn Street
Chicago, IL 60605
Attn: Jackie Lynn, EPF-YAI
Episcopal Peace Fellowship 637 S. Dearborn Street Chicago, Illinois 60605-1839
312-922-8628 ~ www.episcopalpeacefellowship.org ~ epfnational@ameritech.net
