1.Name of Applicant to the AALNC Board of Directors

2.Reference Name:

3.Reference Phone Number:

4.Reference Contact E-mail:

5.How long have you known the applicant?

6.What is your relationship to the applicant?

7.The following skills and abilities are critical to success as a member of the AALNC Board of Directors. Please check all of the attributes this applicant displays through their professional and/or volunteer work which would support a position on the AALNC Board:

Leadership skills

Willingness to devote time to meetings and other assignments as necessary

Ability to work well with others as a “team player”

Critical thinking skills

Ability to analyze and resolve difficult issues

Ability to think long-term to implement projects and initiatives

Completes projects on time

8.Please provide a specific example of a situation in which the applicant demonstrated key leadership skills and abilities, either in a professional or volunteer capacity. Provide the context, and the impact their actions had on the outcome.