Residential Life Employment Reference Form
Applicant Information Applicant Name (*)

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Position Applying For

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Campus Address

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Phone

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Email Address

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The Family Education Rights and Privacy Act of 1974 provides access to educational records and permits the candidate the right to review and inspect this evaluation and to challenge its contents. The Act also permits the candidate to waive his/her right to access to confidential statements obtained with respect to an applications for employment, and the candidate may do so by signing the waiver below:

Applicant Name (*)

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Evaluator Information Name (*)

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Title

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Email Address (*)

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Evaluation
The purpose of this form is to assist the Office of Residential Life in evaluating applicants for the position they are applying. Your candid evaluation of the applicant, based upon your experience and knowledge, will play an important part in our selection process.

How well do you know the applicant?

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Under what circumstances do you know the applicant? (*)

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Considering other college students you know, please rate this applicant according to the following criteria. Choose the number you feel best describes the student. 5=Top 10% | 4=Top 25% | 3=Top 50% | 2=Below 75% | 1=Don't Know

Leadership: The ability to inspire others; to coordinate and lead activities; to facilitate group interaction.

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Comment

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Organization: The ability to prioritize tasks and manage time wisely.

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Comment

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Temperment: The ability to maintain a positive outlook and realistic perspective.

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Comment

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Initiative: How this person approaches new situations; self-motivation; ability to set and accomplish goals and need for supervision.

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Comment

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Interpersonal Relationships: Attitude and ability to work with others; sincerity; flexibility; cooperation; the ability to work with a supervisor.

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Comment

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Responsibility: The degree to which the applicant is dependable, prompt, accurate, and complete.

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Comment

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Communication: The ability to grasp ideas; to read; speaks and writes effectively; to listen and convey understanding to others.

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Comment

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Maturity: Common sense; self-awareness; judgment; integrity; ability to deal with a wide range of personalities.

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Comment

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Emotional Stability: The direction and control of emotional response; general disposition; predictability.

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Comment

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Social Stability: The applicant’s ability to be sensitive and understanding of the feelings and reactions of others and the ability to make effective responses to them.

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Comment

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Additional comments on the applicant’s strengths and weaknesses and/or further explanation of things that might help the applicant:

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Please indicate your reactions to this applicant’s potential for success by circling one of the following responses:

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