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 Hall Association and the Residence Life Department hires a student who organizes and plans Parents Day.
Please help us identify the best possible candidates for this important position by completing this reference form. We sincerely appreciate your insight. Feel free to attach additional documentation to support your comments.
Applicant, please complete the following:
Applicant Information: Reference Information:
Phone: _____________________________________________ Relationship to Applicant: ________________________________
Position of Interest: _Parents Day Coordinator____________________
How long have you known this applicant? _______ Years _______ Months
How well do you know this applicant? _____Very Well _____ Fairly Well ____ Slightly _____ Not Very Well
Please evaluate the applicant on the following:
(SA = Strongly Agree; A = Agree; D = Disagree; SD = Strongly Disagree; N = Not Observed)
The applicant:
1.
Is a positive influence within his/her peer group.
2.
Is approachable.
3.
Can handle situations involving conflict.
4.
Is dependable.
5.
Accepts/utilizes constructive criticism.
6.
Is capable of initiating interaction with others.
7.
Supports residence hall and University policies.
8.
Is well organized and detail oriented.
9.
Can represent themselves and the university in a public forum positively.
10.
Manages time wisely.
11.
Is capable of working under pressure.
12.
Has the ability to network and build relationships with different types of people.
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
SA A D SD N
Please list and explain the candidate's strengths: (For more space, feel free to use the reverse side of the paper.)
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
Please return to the Residence Life Department, located in the 1 st
floor of the Austin Building,
Attention Courtney Pickens by Wednesday, November 12, 2014 at 5:00 p.m.
Please do not return this form to the candidate.