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Recommendation Form

Inspire a Youth to Lead

Thank you for supporting high school students in Georgia with your recommendation! A recommendation is needed only for students who have not yet been involved with 21st Century Leaders (i.e. attending a summer leadership institute would be their first time with any 21CL program).

Learn about our Summer Leadership Institutes.

Mentors, Teachers, Counselors, etc. please complete this online form for students applying into one of 21CL's summer leadership institutes. You can submit a recommendation form for MORE than one student. Only one recommendation per student applicant is required. Current 21CL students do not need a recommendation.

Recommender Name*
First Last
Recommender Email*
Phone
Occupation*
Relationship to Student*
- Teacher/School Employee
- Mentor
- Employer
You must NOT be a relative to the student.
Student's Name*
First Last
Student's Email (Optional)
Student's High School*
OTHER high school

If you selected OTHER for above, please type in the high school that your student attends.
What is the student's leadership potential?*
- 1
- 2
- 3
- 4
- 5
On a scale of 1 to 5, with 5 being the greatest potential
How would you rate this student's teamwork skills?*
- 1
- 2
- 3
- 4
- 5
On a scale of 1 to 5, with 5 being highly skilled
How would you rate this student's communication (written and verbal) skills?*
- 1
- 2
- 3
- 4
- 5
On a scale of 1 to 5, with 5 being highly skilled
Will this program impact the student's leadership and career development?*
- 1
- 2
- 3
- 4
- 5
On a scale of 1 to 5, with 5 being highly impactful
How would you rate this student's career ambition?*
- 1
- 2
- 3
- 4
- 5
On a scale of 1 to 5, with 5 being highly aware of what they want to do as a career
Has the student participated in a leadership development program like this before?*
- Yes.
- No.
- Not sure.
Please share why this program is essential in their personal and professional development and growth as a leader.
Please also include any additional comments or notes about this student.
Would you like us to notify the student with a reminder to complete their application?*
- Yes.
- No.
Student's Email*

We will email the student with a reminder to complete their application to our summer leadership institute and to confirm that the recommendation has been received.
Recommendation Letter (optional)
OPTIONAL: Please submit a formal recommendation letter on behalf of the student. Not required.
Accepted file types: pdf, Max. file size: 128 MB.

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Name*

First Last

Email*

Name

This field is for validation purposes and should be left unchanged.

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21st Century Leaders is a non-profit organization that connects, transforms, and inspires high school students across Georgia to promote inclusion, explore career opportunities, and become leaders in their school, community, and ultimately the workforce.

Recommendation Form

Inspire a Youth to Lead

Not Ready to Partner Yet?
Let's Stay in Touch

Sign up for email updates about our active partnerships, ongoing impact, and opportunities to get involved.

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