Office of Residence Life
Reference form: Resident Advisor
Name of Applicant:
As the Office of Residence Life, we seek to create an environment that supports and enhances the curricular and cocurricular development of our students. We encourage students to become more self-aware, self-reliant, and actively
engaged in campus life by providing a variety of educational, social, and personal growth opportunities. We seek to
provide a residential environment that is culturally inclusive and celebrates the uniqueness and dignity of the individual
while fostering an environment of mutual respect for diversity of backgrounds, beliefs, and identities.
Rate each characteristic using the following scale:
4 – Strong Skills & Abilities: Performance consistently exceeds expectations in an exceptional manner
3 – Adequate Skills & Abilities: Able to meet the basic expectations, room for further training to enhance and strengthen existing abilities
2 – Limited Skills & Abilities: Gaps visible among the skill set that limit the student’s ability to reach adequacy
1 – No Apparent Skills & Abilities: Determined to be missing, given as how it relates to the Resident Advisor position
N/A-Not Applicable: No basis to evaluate
Teamwork/Cooperation
_____ Works well with others and is adaptable
_____ Inspires others, stands out as a strong force in
group efforts
_____ Mediates conflicts within group settings
_____ Able to keep goals and objectives in mind
when working in groups
Communication Skills
_____ Relates well to persons of differing
backgrounds
_____ Articulate and clear verbal expression
_____ Clear and concise writing ability
_____ Displays confidence in communication skills
_____ Attentive listener
Leadership Skills
_____ Displays ability to think reflectively
_____ Able to grasp problems and ideas readily
_____ Uses good judgment in assessing problems
and situations
_____ Uses an open-minded approach
_____ Sensitive to others and responsible to their
needs
_____ Willing to learn and grow
Administrative Skills
_____ Self-motivated
_____ Works well with limited supervision
_____ Displays effective time management skills
_____ Knows when to ask for help
_____ Receptive to feedback and constructive
criticism
Please provide concrete examples, when possible, for the following statements concerning the applicant’s qualifications.
Feel free to include relevant background information that would indicate potential success in the position.
Teamwork/Cooperation
Comment on the applicant’s ability to work effectively in a team, how this person responds in stressful situations, and his
or her ability to work and communicate with others.
Leadership Skills
Comment on the applicant’s ability to plan and implement projects to completion, confidence level, and ability to
demonstrate effective decision making.
(Over)
Communication Skills
Comment on the applicant’s ability to effectively communicate both orally and written, the idea that the candidate displays
active listening skills, and the confidence the candidate has in expressing his or her personal opinion.
Administrative Skills
Comment on the applicant’s ability to display effective time management, his or her receptiveness to feedback, and that
he or she displays an initiative in completing tasks.
Other
Please include any information not included in the categories above that would assist in our evaluation of the candidate.
Place a check to indicate your perspective if you were in a position to employ the applicant:
_____ Employ eagerly
_____ Reluctant to employ
_____ Employ with satisfaction _____ Would not consider employing
Please indicate how well you know this individual (check all that apply):
_____ Know very well through classroom and office contacts
_____ Know fairly well through classroom and office contacts
_____ Know very well through personal contacts outside classroom or office
_____ Know fairly well through personal contact outside classroom or office
_____ I am a relative or close friend
_____ Have a general acquaintance with this individual
This recommendation shall be available to the applicant on request.
Name (please type or print clearly):
Signature:
Date:
Position:
Telephone:
Email:
Please return this completed form to:
Office of Residence Life
Attn: RA Selection Committee/John Mayo
1215 Wilbraham Road
Springfield, MA 01119
Due by January 27, 2012