Mayor´s Youth Leaders in Action Recommendation Request

To the youth applying: Please share the link to this form with 2 adults who can account for your leadership ability and who can complete this on your behalf in order to recommend you for MYLA.

To those completing this application for the youth applying: Thank you for taking the time to complete this. Upon clicking submit, you and your comments will be available for MYLA staff. This recommendation will be used as a part of the youth´s application process. If you have any questions or would like more information on MYLA, please visit our website or contact us at MYLA@vbgov.com.

Your Information

Agency/Organization

Position/Job Title

Your Preferred Phone Number

Your Email Address

Youth Profile

To be completed by the recommender

Recommendations should include the applicant´s leadership skills, community involvement, academics and/or potential for growth in these areas.

In what capacity do you know or worth with the applicant?

Describe the youth´s qualities that make them a good candidate for the MYLA program

Does the youth´s leadership skills align with MYLA´s Mission?

What leadership positions has the youth held?

Please provide details on how the youth´s skills and attributes would suit their role within the MYLA program

Discuss the leadership ability and potential of the youth. Provide examples of when demonstrating leadership

Other relevant information

Recommender Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.