Please rate the applicant in the following areas on a scale of 1-10 (1 = poor skills; 10 = outstanding skills). If you feel you cannot comment on an area, simply leave it blank (zero).

Maturity	0 1 2 3 4 5 6 7 8 9 10
Reliability	0 1 2 3 4 5 6 7 8 9 10
Honesty	0 1 2 3 4 5 6 7 8 9 10
Integrity	0 1 2 3 4 5 6 7 8 9 10
Judgment	0 1 2 3 4 5 6 7 8 9 10
Consistent Performance	0 1 2 3 4 5 6 7 8 9 10

On the same scale of 1-10, how would you rate the applicant's ability to...

thoughtfully consider the consequences of his/her actions.	0 1 2 3 4 5 6 7 8 9 10
work collaboratively with others in a team atmosphere.	0 1 2 3 4 5 6 7 8 9 10
advocate for his/her beliefs when in the minority.	0 1 2 3 4 5 6 7 8 9 10
thoughtfully consider the beliefs of others when others are in the minority.	0 1 2 3 4 5 6 7 8 9 10
uniformly apply standards with a wide variety of people and situations.	0 1 2 3 4 5 6 7 8 9 10

Please comment on any particular strengths and/or talents that you believe the applicant will bring to the Honor Council. (The box will expand as you type).

Please comment on any reservations or concerns you might have regarding the applicant's ability to serve effectively on the Honor Council. (The box will expand as you type).

I do not feel comfortable expressing all of my opinions about this applicant in written form. Please contact me for further information.
Yes
No

Thank you very much for your assistance with this reference!