Lake Ontario Region 16 - Confidential Reference Form

Nominee Name ID Date

Using the following criteria, please rate the candidate by making an "X" in the appropriate column

	STRONGLY CAPABLE	CAPABLE	INCAPABLE	NA
Problem Solving/Decision Making
Communication
Interpersonal Relationships
Courage /Risk Taking
Conflict Resolution
Goal Oriented / Visionary
Planning / Organizational
Integrity / Confidentiality
Flexibility / Open- Mindedness

Additional Comments:

Signature of Board/Team member:

Chorus Name:

Please send your completed form by clicking the "Send" button below to:
Nancy Watson, Resource Bank Coordinator
Nwatson@sl.on.ca

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