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Diller Teen Fellows

Reference Form 2015-16

Applications & References are Due May 18, 2015

Please fill out the following form in order to serve as a reference for an applicant seeking to participate in the Los Angeles Diller Teen Fellows Program for the 2015-16 school year.

Diller Teen Fellows is a 15-month intensive identity, leadership, and community service program, where students learn and work together in a variety of settings, including overseas.

For more information is available Diller Teen Fellows visit www.dillerla.org, or by contacting Sami Stein Avner at ssteinavner@westsidejcc.org or (323)556-5207.

Name of Applicant*
Your Name*
Address

 


The success of the program depends on the participants’ ability to: adjust to new environments and people; work and live cooperatively in an intensive group setting; maintain a sense of initiative and independence through positive energy and strength of character; creatively mobilize their peers to take action as future Jewish leaders.

While there is no single model of an participant, there are certain criteria that make a successful participant.  Among those criteria are: emotional maturity and stability, openness to learning and new experiences, interpersonal skills, leadership potential, and creativity.

 It is important that you describe the applicant as specifically and objectively as possible.  Please share the candidate’s strengths and challenges.  All information shall be kept confidential.

Thank you in advance for your help in identifying young leaders within our community.

Please answer the following questions:

Maturity in group settings (especially if in 9th grade), any behavioral issues etc

Please Rank the Applicants in the following categories:

Academic Achievement*
Critical Thinking*
Leadership Potential*
Initiative*
Integrity*

 

Thank you for taking the time to support an outstanding teen!

The Diller Teen Fellows program is generously funded by the Helen Diller Family Foundation, a supporting foundation of the San Francisco Federation’s Jewish Community Endowment Fund.

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