2023 Youth Ambassador Exchange Program Nomination

Phoenix Sister Cities provides Phoenix resident high school students the opportunity to live abroad in one of Phoenix’s ten Sister Cities around the globe: Calgary, Canada; Catania, Italy: Chengdu, China; Ennis, Ireland; Grenoble, France; Hermosillo, Mexico; Himeji, Japan; Prague, Czech Republic; Ramat Gan, Israel; Suwon, South Korea; and Taipei, Taiwan. Students live with a family in the host city for three weeks during the summer, then host a visiting Sister City student in their own home here in Phoenix. The student nominated should be capable of serving as an ambassador for our city and of adapting to cultural differences. We value your insights. The information given will be confidential and available only to selection committee members.

Question Title

* 1. I hereby nominate __________________________________ for consideration as a Youth Ambassador in the Phoenix Sister Cities Youth Ambassador Exchange Program.

Question Title

* 2.
Your Information

Name

Relationship to nominee

Length of acquaintanceship

Email Address

Phone Number

Question Title

* 3.
Please evaluate the following characteristics of nominee on a scale of 1 (poor) to 5 (outstanding):

	1	2	3	4	5
a. Acceptance of responsibility	a. Acceptance of responsibility 1	a. Acceptance of responsibility 2	a. Acceptance of responsibility 3	a. Acceptance of responsibility 4	a. Acceptance of responsibility 5
b. Cooperativeness / Ability to adhere to rules	b. Cooperativeness / Ability to adhere to rules 1	b. Cooperativeness / Ability to adhere to rules 2	b. Cooperativeness / Ability to adhere to rules 3	b. Cooperativeness / Ability to adhere to rules 4	b. Cooperativeness / Ability to adhere to rules 5
c. Open-mindedness	c. Open-mindedness 1	c. Open-mindedness 2	c. Open-mindedness 3	c. Open-mindedness 4	c. Open-mindedness 5
d. Interested in learning	d. Interested in learning 1	d. Interested in learning 2	d. Interested in learning 3	d. Interested in learning 4	d. Interested in learning 5
e. Leadership skills / Independence	e. Leadership skills / Independence 1	e. Leadership skills / Independence 2	e. Leadership skills / Independence 3	e. Leadership skills / Independence 4	e. Leadership skills / Independence 5
f. Maturity	f. Maturity 1	f. Maturity 2	f. Maturity 3	f. Maturity 4	f. Maturity 5
g. Flexibility/Ability to adapt to new situations	g. Flexibility/Ability to adapt to new situations 1	g. Flexibility/Ability to adapt to new situations 2	g. Flexibility/Ability to adapt to new situations 3	g. Flexibility/Ability to adapt to new situations 4	g. Flexibility/Ability to adapt to new situations 5
h. Social skills	h. Social skills 1	h. Social skills 2	h. Social skills 3	h. Social skills 4	h. Social skills 5

Question Title

* 4. What has been your interaction with the nominee?

Question Title

* 5. How do you predict nominee would adapt to living in a new country in the home of a foreign student and their family for several weeks, overcoming language barriers, accommodating a lifestyle of higher or lower economic status, adhering to their rules or laws, graciously participating in their culture, etc.?

Question Title

* 6. What are the first words that come to mind when describing the nominee?

Question Title

* 7. From your observations, how do others perceive the nominee socially?

Question Title

* 8. Optional Remarks

To submit nomination complete this form.
Deadline for submissions: January 9, 2022 at 5 p.m.

2023 Youth Ambassador Exchange Program Nomination

Question Title

* 1. I hereby nominate __________________________________ for consideration as a Youth Ambassador in the Phoenix Sister Cities Youth Ambassador Exchange Program.

Question Title

* 2. Your Information

Question Title

* 3. Please evaluate the following characteristics of nominee on a scale of 1 (poor) to 5 (outstanding):

Question Title

* 4. What has been your interaction with the nominee?

Question Title

Question Title

* 6. What are the first words that come to mind when describing the nominee?

Question Title

* 7. From your observations, how do others perceive the nominee socially?

Question Title

* 8. Optional Remarks

* 2.
Your Information

* 3.
Please evaluate the following characteristics of nominee on a scale of 1 (poor) to 5 (outstanding):