Supplemental Instruction (SI) Leader Reference Form Name of Applicant: Name of Reference: SI Position Subject: Semester: Greetings! In order to evaluate the student listed above as an applicant for a position as an SI Leader at SDSU, we ask that you provide us with your objective ranking of the applicant in the categories below. Using the chart below, please rank the applicant on a scale from 1 to 5 in each category with 5 being the highest (excellent) and 1 the lowest (ineffective). We have also included a “Not Applicable” column if you have not had the opportunity to observe the student in relation to that category. Thank you for your time and assistance in the SI Leader Hiring Process! Excellent 5 4 Average 3 2 Ineffective 1 NA Knowledge in the SI Subject applied for Ability to lead 5-30+ students in learning the subject matter Communication: Informal, small group presentations Day-to-day written communications One-on-one verbal communication Ability to make a positive first impression Overall approachability Ability to create effective working relationships with students and faculty Ability to interpret and implement program policies Level of professionalism Would you recommend that the SI program hire this applicant? Additional Comments: Please return the completed recommendation form directly to one of the SI Program Coordinators listed below: Linde Murray Wintrode Tutoring and SI Programs Box 2214, SWSC 110 Brookings, SD 57007 Phone: 605-688-4155 Linde.Murray@sdstate.edu OR Nathan Bylander TRiO Student Support Services Box 2806, SLC 104 Brookings, SD 57007 Phone: 605-688-6653 Nathan.Bylander@sdstate.edu