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RA Reference Form
Step
1
of
2
50%
Resident Assistant Reference Form
Reference Name
*
First
Last
Title
*
Phone
*
Email
Communication Preference
*
Phone
Email
Either
Date
*
MM slash DD slash YYYY
Applicant Information
Applicant Name
*
First
Last
The student named above has applied to be a Resident Assistant and has listed you as a reference. To aid us in the selection process, we would appreciate your evaluation and specific comments regarding the applicant. This form continues on the next page.
How long have you known the applicant?
*
What is your relationship to the applicant?
*
Evaluation
Please summarize your reference by completing the following information.
List Three (3) Strengths of the Applicant
*
List Three (3) Possible Limitations of the Applicant
*
Based upon the description above, your understanding of the RA responsibilities, and according to your knowledge of the applicant, please respond as to how you feel he/she would perform in such a position. On the scale below, how would you rate the applicant in the following areas in comparison to typical, upper level college students? If you have no basis for comment on an item, please indicate such. Please make specific comments where possible to clarify your assessment.
Spiritual Maturity
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Emotional Maturity
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Initiative
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Openness to learning from others who have differing views
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Communication skills
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Relational ability
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Leadership ability
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Responsibility
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Unknown
Please provide your overall recommendation for the applicant.
*
Outstanding (top 5%)
Very good (top 10%)
Good (top 25%)
Average (upper 50%)
Below average (lower 50%)
Additional comments
We encourage you to use this space to provide additional statements concerning the applicant.
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