Give Her Wings Reference Form


This form is to be filled out by people who have been asked to provide a reference for an applicant to our Give Her Wings Award.

Print the reference form and take your time in answering the questions as thoroughly and accurately as possible. When you have finished answering the questions, you can either scan the reference form and email it to Soroptimist International of Victoria Westshore ( or you can use the form as a reference guide to filling out the online reference form below.

NOTE: The online reference form does not save and must be completed in one sitting.


Printable Reference Form

Since 1972, the Soroptimist Live Your Dream: Education and Training Awards have provided women with resources to improve their education, skills and employment prospects so they can live their dreams.

In 2017, Soroptimist International of Victoria Westshore created a new award called the Give Her Wings Award. Eligible applicants are young women who:

  1. Were in the Foster Care system in British Columbia.
  2. Have been accepted or are enrolled in an educational institution for a program of instruction, not just a single course.
  3. Are motivated to achieve their educational goals.
  4. Reside in the Capital Regional District.
  5. Have not previously been the recipient of a Soroptimist Women’s Opportunity Award or Live Your Dream Award.
  6. Are not Soroptimist members, employees of Soroptimist International of the Americas or immediate family of either.
In order for applicants to be fairly judged, reference forms are required. Please do not submit other forms of references (such as a letter). They will not be considered as part of the application.

Please use your personal knowledge of the applicant to respond to the following questions:

1. How long have you known the applicant and in what capacity (employer, school instructor, friend, etc.)?*

2. Please rate the applicant in the following areas, based upon your knowledge of her achievements and strengths. A score of "1" means that you "strongly agree" with the statement; a score of "5" means that you "strongly disagree" with the statement.

3. Please tell us what you believe to be the applicant's strengths in her personal, educational or professional life. If you can, give examples of particular accomplishments.*

4. What is your knowledge of the applicant's educational goals and her progress toward achieving these goals? Consider any barriers or difficulties she has overcome.*

5. Is there any additional information we should know about this applicant in regard to this award program?*

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