To the applicant:

Please complete the top section of this form and then ask a co-worker, teacher, supervisor, friend or a nominating organization contact to complete the form or attach a letter of reference that answers the questions below. Please provide each of your references with the cover sheet that describes the exchange you are applying for and discuss your expectations and goals.

To the reference:

Mobility International USA (MIUSA) offers short-term international exchanges that empower people with and without disabilities and promote cross-cultural understanding. International exchanges are incredible learning experiences that present participants with many unique challenges. Successful participants are motivated, flexible and open to new situations and people from diverse social and cultural backgrounds. As a result, your candid appraisal is very valuable to us in determining whether the applicant is prepared for this program.  If you feel this candidate is prepared for this international exchange, how can we best help him or her to obtain the most from the experience?