Coordinator Forms

IFYE USA Outbound Representative References Form

Please provide the contact information of three individuals, other than relatives, who can evaluate your qualifications. References may be an employer or supervisor, teacher, or friend. It is recommended that one reference be a leader or advisor of a youth organization (e.g., 4-H, FFA, university student group, etc.).

Outbound Representative References Form

Your Name

First Name *

Last Name *

Your State

References

Reference 1 Name

First Name *

Last Name *

Phone Number

Type of Phone

Cell
Home
Work

Email Address

Title/Relationship to You

Reference 2 Name

First Name *

Last Name *

Phone Number

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Type of Phone

Cell
Home
Work

Email Address

Title/Relationship to You

Reference 3 Name

First Name *

Last Name *

Phone Number

Type of Phone

Cell
Home
Work

Email Address

Title/Relationship to You

Your Signature

(Your typed name is considered a legal signature.)

Date

Month

Day

Year

Reviewed/Revised January 2025