Leadership Dutchess Employer Recommendation

Program Sponsors:
Central Hudson
The Children’s Home of Poughkeepsie
KeyBank
RBT CPA’s
Ulster Savings Bank

Applicant's Name

First Name *

Last Name *

Your Contact Information

First Name *

Last Name *

Organization name: *

Business Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Business phone number: *

Business email address: *

How long have you known the applicant? (in years) *

Please explain the nature of the business, professional, or community interaction with applicant: *

Why are you recommending this applicant for Leadership Dutchess? *

List applicant's areas of strengths: *

List applicant's areas of improvement: *

What are your goals for this applicant if they are accepted into Leadership Dutchess? *

Additional comments:

If your employee is accepted in the program, you fully understand the time commitment and that the employee will be released from work responsibilities for one full day of activities for each of the nine business-day sessions and will receive support in committing time to the two class projects (Community Service project and a class fundraising project determined by each individual class).

Yes, I have read the above statement and will support my employee candidate if accepted into the program. *

Yes