TLP Reference Check - Tasmanian Leaders Inc

Your Name

First Last

Applicant Name

First Last

Please confirm the nature of your relationship to the candidate, including how long you have known each other and what capacity?

Please indicate the degree to which the candidate meets our selection criteria?

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
Be established or aspiring leaders with at least five years of relevant experience.
Have demonstrated above-average achievement with clear potential for further growth.
Have the capacity to enter, or progress further through senior levels of management.
Have the potential to contribute significantly to the widerTasmanian community.
Be willing and able to make the required time and energy commitment to the program.

Outline the personal and/or professional qualities of the applicant

What level of commitment does the applicant show for their passion and/or profession?

Describe their leadership potential and where you see them in ten years’ time?

What would you hope they gain from a leadership program?

Is there anything else you would like to add?