Student Staff Reference Form
2014-2015 Housing & Residence Life Student Staff Selection
One reference form for each student staff applicant must be received by Housing and Residence Life no later than
Friday, January 17, 2014
This form must be completed by the applicant's current RA/FRAD.
Again, please note this reference form is due by
Friday, January 17, 2014 at 5:00 PM
Name of Student Staff Applicant:
Please select your position on campus:
How well do you know this student?
Not very well
Please evaluate the applicant's leadership abilities. What type of leader is s/he?
Please evaluate the applicant's ability to work well with others and adapt to different situations. Does s/he display a cooperative attitude?
Please evaluate the applicant's level of maturity. Can you cite an example of how s/he exhibited good judgement and maintained composure under pressure?
Please evaluate the applicant's degree of dependability. How responsible is the applicant and does s/he require constant oversight to perform routine tasks well?
Please evaluate the applicant's degree of self-motivation. What do you perceive as his/her source of motivation?
Please evaluate the applicant's acceptance of those different from him/her. How does s/he show tolerance and sensitivty towards others?
Please evaluate the applicant's ability to interact with students of various backgrounds. How personable is s/he when interacting with others?
Please evaluate the applicant's level of self-confidence.
Please provide any reservations you have concerning this applicant.
Please select your appropriate recommendation for this student:
Do not recommend
Recommend with reservations
If you have any additional comments, please submit them as an attachment to this recommendation form.
Please click "Yes" to acknowledge that the information on this reference form is accurate. This will serve as your electronic signature.
Do Not Fill This Out