To whom it may concern:

The person who has sent you this form has applied to participate in a Work and travel Exchange visitor program in the
United States. This application process requires submitting at least one reference from someone who knows the
applicant through an academic institution, employer, teacher or friend.

Participant Name and Last name Italo Nonalaya

REFERENCE INFORMATION (to be completed by Reference, i.e. teacher, coach, tutor, employer, supervisor, co-worker etc.)

Reference first and last name Italo Alberto

E-mail of reference 70572094@continental.edu.pe Cel. number of reference 956310015

How long have you known the Participant? 4 years Relationship to Participant Friend

Please check in the box that best describes the Participant’s abilities in the following areas

Maturity (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Flexibility (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Communication skills (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Reliability (Choose only one) ☐ excellent ☒ good ☐ fair ☐ poor ☐ I don’t know

Responsibility (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Ability to work with others (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Attitude (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Ability to solve problems (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Initiative (Choose only one) ☐ excellent ☒ good ☐ fair ☐ poor ☐ I don’t know

Truthfulness (Choose only one) ☒ excellent ☐ good ☐ fair ☐ poor ☐ I don’t know

Please list three qualities or strengths of the Participant.

I think she is cheerful, she is too patient, she always has a big smile in her face.

Please list any weaknesses of the Participant you are aware of.

I think she is perfectionist like her sister, but she try to be better every day.