HealthPartners Teen Leadership Council Teen Recommendation Form

Thank you for agreeing to submit this form on behalf of a student who is applying for the HealthPartners Teen Leadership Council (TLC). Once a teen has submitted their application, please take a moment to complete this short recommendation form.

If you have any questions regarding this program, please contact us at paul.r.danicic@healthpartners.com
1.Your Full Name(Required.)
2.Your Employer(Required.)
3.Your Job Title(Required.)
4.Phone Number(Required.)
5.Email Address(Required.)