* 1. Applicant's name

* 2. Length of acquaintance

* 3. Type of relationship with applicant

* 4. Why should this applicant be considered as a Leadership Richardson participant?

* 5. A significant portion of the Leadership Richardson program is devoted to community leadership development. How will this applicant benefit from the leadership development component?

* 6. How will the applicant contribute to the community through his/her service?

* 7. Other pertinent information.

* 8. Are you personally interested in this applicant as a future leader in the Richardson community?

* 9. How do you rate this applicant’s potential as a participant in Leadership Richardson?

* 10. Name

* 11. Company

* 12. Title

* 13. Email

* 14. Date

T