City of Cedar Hills

frontdesk@cedarhillsutah.gov

10246 N Canyon Road, Cedar Hills, UT, 84062, US

Applicant Recommendation for YCC

To Be Completed by an Unrelated Adult

Teen Name

The teen you named above has asked for your recommendation to participate in the Cedar Hills Youth City Council. Please indicate how much you would agree or disagree with each statement below.

Survey Matrix

Strongly Agree

Somewhat Agree

Not Sure

Somewhat Disagree

Strongly Disagree

Demonstrates Leadership

Demonstrates Leadership /Strongly Agree

Demonstrates Leadership /Somewhat Agree

Demonstrates Leadership /Not Sure

Demonstrates Leadership /Somewhat Disagree

Demonstrates Leadership /Strongly Disagree

Works Well with Others

Works Well with Others/Strongly Agree

Works Well with Others/Somewhat Agree

Works Well with Others/Not Sure

Works Well with Others/Somewhat Disagree

Works Well with Others/Strongly Disagree

Willing to Try New Things

Willing to Try New Things/Strongly Agree

Willing to Try New Things/Somewhat Agree

Willing to Try New Things/Not Sure

Willing to Try New Things/Somewhat Disagree

Willing to Try New Things/Strongly Disagree

Finishes What He/She Starts

Finishes What He/She Starts/Strongly Agree

Finishes What He/She Starts/Somewhat Agree

Finishes What He/She Starts/Not Sure

Finishes What He/She Starts/Somewhat Disagree

Finishes What He/She Starts/Strongly Disagree

A Good Listener

A Good Listener/Strongly Agree

A Good Listener/Somewhat Agree

A Good Listener/Not Sure

A Good Listener/Somewhat Disagree

A Good Listener/Strongly Disagree

Well-organized

Well-organized/Strongly Agree

Well-organized/Somewhat Agree

Well-organized/Not Sure

Well-organized/Somewhat Disagree

Well-organized/Strongly Disagree

What is the applicant's strongest attribute?

In what area has the applicant shown the most need for improvement?

Your Name

Your Relationship to the Applicant

Your Phone Number

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First Name

Last Name

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Date

Thank you for your participation!