CITY LOCALS APPLICATION - SECTION 5

REFERENCES

IN AN EFFORT TO BEST SERVE OUR LOCALS, IT HELPS TO HAVE AN IDEA OF WHAT THEIR UNIQUE AND INDIVIDUAL NEEDS ARE. BY PROVIDING THE NAMES AND CONTACT INFORMATION FOR PEOPLE WHO KNOW YOU (OR YOUR LOCAL) WELL, IT HELPS US TO BETTER UNDERSTAND HOW WE CAN BEST SUPPORT YOU AND/OR YOUR FAMILY.

If you have confidentiality concerns regarding others knowing you are joining Southwind Fields, please put “NA” in the boxes below and we will reach out to you by phone or email. It is important that we have contact with someone who knows you well, if at all possible, so please consider your answers below carefully before answering “NA.”

Please keep in mind that your references are only guide posts for us as we consider your application and do not hold baring on your admittance to Southwind Fields.

Reference No. 1

First Name

Last Name

Relationship

(i.e. mother, father, sister, friend, guardian, etc.)

Referene 1 Phone Number

(###)

###

####

Reference 1 E-Mail Address

Reference No. 2

First Name