Reference Form – Miami March of the Living

Please fill out the following form in order to serve as a reference for an applicant seeking to participate in Miami's Leo Martin March of the Living.

The March of the Living is a six-month program culminating in a two-week international experiential program where teens from around the world come together each year and bear witness to the destruction of the Holocaust in Poland and then travel to Israel to rejoice in the Jewish Homeland. The program commemorates Yom HaShoah, Holocaust Memorial Day, marching from Auschwitz to Birkenau, and celebrates Yom HaAtzmaut, Israel's Independence Day, in the land of Israel.

For more information about The Miami's Leo Martin March of the Living visit online or contact [email protected]

Applicant's Email Address^*

Applicant First Name^*

Applicant Last Name^*

Your Name^*

Agency and Title^*

Your relationship to the applicant^*

Your Phone Number^*

Your E-mail Address^*

In what capacity and for how long, have you known the applicant?^*

Type here...

Based on your knowledge of this applicant, how do you think they will benefit from participation in Miami's March of the Living?^*

Based on your knowledge of this applicant, what do you think they can contribute to the group?^*

Do you think this student has the maturity to participate in a travel abroad program, specifically one that addresses the issue of the Holocaust?^*

Is the student an independent thinker?^*

Is this student influenced by group pressure?^*

Do you think this student is a strong candidate for this program?^*

Has this student worked in group situations with people of differing options, backgrounds or perspectives? Please describe.^*

Have you observed this student in any type of conflict resolution? Please explain.^*

Please describe any special skills you have seen the applicant demonstrate or perform.^*

Please share any final thoughts about the applicant, including anything else that will help us provide a more positive experience.^*

Your final recommendation regarding this applicant.^*

If you selected "Do not recommend" or "Recommend with reservations," please elaborate here.

THANK YOU FOR TAKING THE TIME TO SUPPORT MIAMI'S MARCH OF THE LIVING PROGRAM WITH YOUR HONEST FEEDBACK AND RECOMMENDATION!

Reference Form - MOTL 2023-2024