Mental Health Advocacy Institute - Recommendation Form

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Mental Health Advocacy Institute - Recommendation Form

Thank you for supporting a student in their application to Active Minds’ Mental Health Advocacy Institute. We value your insight into their character, leadership abilities, and reliability for this opportunity. Please complete the following form to provide your recommendation.

Recommender Information

Full Name:

Position/Title:

Department:

Institution (no abbreviations please):

Email:

Student Information

Student’s Full Name:

Student’s email address:

How long have you known the student, and in what capacity? (300 characters max)

1. Student Enrollment Verification:

Please confirm that to the best of your knowledge, the person above is a current student at your institution.

Yes, to my knowledge the student is currently enrolled.No, to my knowledge the student is not currently enrolled.

2. Leadership Experience:

To the best of your knowledge, does the student have leadership experience or demonstrate leadership potential in their academic or extracurricular activities?

Yes, the student has leadership experience.No, the student does not have leadership experience.

Please briefly describe their leadership roles (300 character max)

3. Professionalism & Conduct:

Are you aware of any concerns or issues that may affect the student’s ability to successfully participate in the Mental Health Advocacy Institute, such as difficulties with professionalism, teamwork, or communication?

No, I am not aware of any concerns.Yes, I have some concerns.

If “yes”, please briefly explain (300 character max)

Please share any additional thoughts or information that may support this student's application

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Survey ID

Contact Information