Youth Leadership Birmingham

Youth Leadership Birmingham Reference Form

Each YLB applicant must have one reference. This reference should be from an adult who is NOT a relative. Reference forms are due Monday, September 14, 2026.

Applicant Information

Please provide information for the student for whom you are writing this reference.

Student First Name*

Student Last Name*

School*

The name of the school the applicant currently attends.

Current Grade*

Student Email*

Reference Information

Please provide your contact information below.

Your First Name*

Your Last Name*

Place of Employment*

Position or Title

Email*

Relationship to Student

On a scale of 5 (high) to 1 (low), please rank how the applicant compares with other high school sophomores and juniors you have known.

How long and in what capacity have you known the applicant?*

What do you consider the applicant's primary talents or strengths as a student leader?*

In what areas could the applicant improve?*

Comment on the applicant's relationship with their peers.*

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