Youth Leadership Birmingham References

Each YLB applicant must have one reference. This reference should be from an adult who is NOT a relative. Reference forms are due Friday, September 26, 2025.

Applicant Information
Please provide information for the student for whom you are writing this reference.
Student Name*
First Last
School*
Please list the name of the school the applicant currently attends.
Current Grade*
- 10th Grade
- 11th Grade
Reference Information
Please provide your contact information below.
Your Name*
First Last
Place of employment*
Position or title
Email*
Relationship to student (Teacher, school administrator, pastor, family friend, etc. )
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.
Ability to communicate with others*
Participation in group settings*
Interest in community affairs*
Potential for becoming a community leader*
Ability to lead peers*
How long and in what capacity have you know the applicant?*
What do you consider the applicant's primary talents or strengths as a student leader?*
In what areas could applicant could improve their leadership skills?*
Comment on the applicants relationship with their peers.*
Please comment generally on the applicant’s ability to communicate with others, behavior in a group setting, ability to work with others and potential for becoming a community leader.*
What makes this student a good candidate for Youth Leadership Birmingham?*

Youth Leadership Birmingham References

Applicant Information

Reference Information

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.