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ANVC Candidate Reference Form - 2021
Please complete the below and submit electronically.
*
1.
Name of Candidate
(Required.)
*
2.
Position for which Candidate is running for:
(Required.)
ANVC Board: Member-at-Large
Leadership Development Committee
*
3.
Please describe your relationship with the candidate:
(Required.)
4.
Candidate's contributions in neurovascular practice.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
5.
Candidate's Leadership Ability.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
6.
Candidate's Professional Communication.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
7.
Candidate's Ability to Meet Deadlines.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
8.
Candidate's Quality of Work.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
9.
Candidate's Creativity and Innovation.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
10.
Candidate's Accountability and Integrity.
Highly Recommended
1 star
Recommended
2 stars
Neutral/No Opinion
3 stars
Not Recommended
4 stars
Strongly Not Recommended
5 stars
No Opportunity to Evaluate or Comments
*
11.
Your Name
(Required.)
*
12.
Email
(Required.)
13.
Please upload a Letter of Support for this candidate.
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