Sebastopol World Friends

Middle School Student Exchange Program with Takeo, Japan - Reference Form

The applicant is applying for the position of Student Ambassador in the upcoming cycle of the sister city exchange program between Sebastopol and Takeo, Japan. Please help us determine if this applicant is ready to participate in the program.  You can find the program overview and the selection criteria here.

The information provided by you will remain confidential and will be used for selection purposes only. All references must be received by Monday, November 5, 2018.  If you have any questions, please email us at takeo@sebastopolwf.org.
Thank you.

Sebastopol World Friends Sister City Exchange Program with Takeo, Japan Reference Form

  • Date Format: MM slash DD slash YYYY
  • I. Please rate the applicant on each of the following.

    (1= strongly disagree, 5= strongly agree)
  • II. Please answer the following questions.

* Please note that if you choose to “Save and Continue Later” you must copy the supplied unique web address so you can return to your form. The system will ask if you want it emailed, but the email from here is unreliable – thank you for your understanding – SWF