Reference Request Form

An applicant to the Climate Action Corps has identified you as a reference in their application. Climate Action Corps is dedicated to mobilizing climate actions designed to engage community members, empower change, and leave a lasting impact. Selected Fellows will spend 7.5 months supporting community climate action projects through Climate Action Corps, a program of the Local Government Commission (LGC) implemented in partnership with California Volunteers. Fellows will be placed in teams of 2 with Host Partner organizations. Most of the placements will be in 5 target Cities and surrounding regions: Fresno, Stockton, San Jose, Los Angeles, and Redlands.

Please complete all information below within 1 week from the date you received the email requesting your reference:

As we are a program that places candidates with partner organizations, you may be contacted more than once by several agencies if the candidate moves to the interview process.

All fields marked with a red * are required.

Contact Information

This section asks you to provide information about yourself.

Climate Action Corps Applicant Information

Please answer the following questions about the applicant to the Climate Action Corps program as best as you can.

Please rank the candidate's qualifications compared to others with similar work/educational experiences in the following areas using the scale: 1=EXCEPTIONAL, 2=GOOD, 3=AVERAGE, 4=FAIR, 5=POOR.