Resident Assistant Application Reference Form
Applicant Name:
This student has filed an application for a job as Resident Assistant (RA) with the Office of Housing
and Residence Life at Salisbury University.
Please evaluate his/her potential for this position by completing the rating form below. RAs are
selected on the basis of the ability to communicate and work with diverse individuals and groups
while creating a community atmosphere in their hall. An RA further assists in making the atmosphere
conducive to academic achievement, social growth and the development of personal and group
responsibilities.
Recommendations are due via e-mail to raselection@salisbury.edu by Thursday, December 31,
2015.
Please indicate how you know this candidate:
as a resident on my floor/building
as an employee
through classroom or office contact
other (specify)
Please rate the applicant by using the criteria below. Place a circle around the number that best
describes the applicant’s qualities, as they apply to their ability to work in the residence halls with
residents and staff.
5-Excellent
2-Fair
4-Very Good
1-Poor
3-Average
0-Unable to Evaluate
ATTITUDE: A general approach to the position, supervisors, colleagues & people along with a desire
to perform in a satisfactory manner
5
4
3
2
1
Comments:
COMMUNICATION SKILLS: Ability to listen and respond to others needs and concerns:
5
4
3
2
1
Comments:
INITIATIVE: Performs responsibilities without being requested or reminded to do so.
5
4
3
2
1
Comments:
Please describe any strengths this candidate has in relationship to the RA position:
Please describe any challenges this candidate has in relationship to the RA position:
Based on my above assessment of the applicant and my personal/professional interaction, I would:
Highly Recommend
Recommend
Not Recommend
Recommender’s Name:
Phone Number:
Address:
Date: