Residence Life Department
Stephen F. Austin State University
RESIDENCE LIFE STAFF
APPLICANT REFERENCE FORM
This form is to be completed by an individual whom can contest to the applicant’s work ethic, personality, and
interpersonal communication skills. For example this form can be filled out by a previous employer/supervisor, Hall
Director, Community Assistant, SFA organizational advisor, SFA Faculty or Staff member.
The Residence Life Department hires students for staff positions as Community Assistants in the First-Year Commons
program, upper-class student residence halls, and on campus apartments. Please help us identify the best possible
candidates for these important positions by completing this reference form. We sincerely appreciate your insight.
Applicant, please complete the following:
Applicant Information:
Reference Information:
Name:______________________________________
Name: ______________________________________
Phone: _____________________________________
Relationship to Applicant ________________________
Email: ______________________________________
Phone: ______________________________________
Position of Interest: ____________________________
Email: _______________________________________
How long have you known this applicant?
_______ Years _______ Months
How well do you know this applicant?
Please evaluate the applicant on the following:
(Strongly Agree; Agree; Disagree; Strongly Disagree; Not Observed)
The applicant:
Is a positive influence within his/her peer group.
Is approachable.
Can handle situations involving conflict.
Is dependable.
Accepts/utilizes constructive criticism.
Is capable of initiating interaction with other students.
Has insight into the interests and needs of other students.
Demonstrates an open-minded attitude towards varying cultures, ethnicities,
values, etc.
Is capable of communicating his/her views and recommendations appropriately
to others.
Should be hired as a Residence Life Staff Member.
Attends hall and floor programming.
Please list and explain the candidate's strengths: (For more space, feel free to send an attachment or email.)
Please list and explain the candidate's areas of needed improvement:
Anything else you would like to add for our consideration of this applicant:
Signature
Date
Community Assistant Application—Page 8—Revised 1/25/2016
Supports residence hall and University policies.