Resident Assistant Reference Form
Please complete and submit this document by no later than December 7th at 4PM.
Applicant's Name
*
First Name
Last Name
Applicant's E-mail
*
In what capacity do you know the applicant?
*
Please Select
Faculty/Staff
Current DS
Recommender's Name
*
First Name
Last Name
Please choose the answers which best describe the applicant per your experience(s) with them.
*
Rows
Area of Weakness
Average
Area of Strength
Unable to Observe
Treats others with respect
1
2
3
4
Effectively manages time
5
6
7
8
Is reliable
9
10
11
12
Shows initiative
13
14
15
16
Is organized
17
18
19
20
Demonstrates leadership ability
21
22
23
24
Is creative
25
26
27
28
Maintains a positive attitude
29
30
31
32
Communicates clearly
33
34
35
36
Is receptive to feedback
37
38
39
40
Motivates others
41
42
43
44
Please indicate your overall recommendation.
*
Please Select
Recommend WITHOUT reservation
Recommend
Recommend WITH reservation
I do not not recommend this applicant.
Would you like an RCL representative to contact you to discuss your overall recommendation selection?
*
Yes
No
Recommender's Best Contact Number
*
-
Area Code
Phone Number
Would you like to upload a recommendation letter? (OPTIONAL)
Upload a File
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Additional Comments:
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