Resident Assistant Reference Form The following form is used by the Office of Residence Life and Housing to assist us in the assessment of potential resident assistant candidates. The form must be filled out completely. We have given rating criteria for you to use, as well as a comments area. This form must be used in this process, letters of recommendation cannot be accepted. Name of Applicant: _____________________________________________________________________ Name of Reference: _____________________________________________________________________ Relationship to Applicant: ________________________________________________________________ How long have you known the reference: ____________________________________________________ __ I waive my right to view this reference in the future __I retain my right to view this reference in the future ______________________________________________________________ _____________ Signature of Applicant Date Please rate the candidate on the following scale as it relates to the following statements: NA 1 2 3 4 5 Cannot Answer Poor Average Excellent resident assistants must be able to work with a wide range of people and be accepting of diverse values, morals, and lifestyles. Please rate this applicant on their ability to work with, and mentor, a diverse population. Rating: _____ Comments: resident assistants are given responsibilities to assume a number of important tasks: building security, contacting persons for emergencies, getting information to residents, and general customer service functions. Please rate the applicant on their ability to assume high levels of responsibilities, with or with out supervision. Rating: _____ Comments: resident assistants must demonstrate good time management skills and balance job responsibilities, schoolwork, and personal commitments. Please rate the applicant on their time management skills. Rating: ____ Comments: resident assistants serve para-professional mentors and leaders to individuals on academic, personal and general issues. Good listening skills and personal stability are essential. Please rate the applicant on their ability to serve as a mentor and leader. Rating: ____ Comments: resident assistants are key role models for other students on campus. Please rate this applicant on how you view them as a role model. Rating: _____ Comments: resident assistants must often deal with conflict between individuals and groups. Please rate this applicant on their ability to deal with conflict, and their willingness and ability to confront inappropriate behavior. Rating: _____ Comments: resident assistants must be able to lead and facilitate group meetings and organize events. Please rate this applicant on their group facilitation skills. Rating: _____ Comments: If you had the ability to hire or rehire this applicant, would you? Yes circled no) No (please explain if you Other comments that would assist the Selection Committee in making this decision: _________________________________________________ Printed Name _________ Date _________________________________________________ Signature _________ Date Return completed references to Monarch or La Plata Front Desk by March 21st, 2016 at 4pm. No exceptions. Questions? Contact Donald Wynn dwynn@uccs.edu or Molly Kinne mkinne2@uccs.edu