Reference Form for Resident Assistant Application

Reference Form for Resident Assistant Application

To the Applicant
Student name: ______
LastFirstMI
I hereby______WAIVE ______DO NOT WAIVE my right to inspect and review the reference form. I understand that this form will only be used in the Resident Assistant Selectin process.
Applicant’s Signature ______Date: ______
To The Reference
The above references student is interested in a position as a Resident Assistant at the University of Science and Arts of Oklahoma Residence Life Department. This reference form is designed to help us determine whether the candidate has the qualities and experiences that will enable him/her to become a successful ResidentAssistant. RAs enhance the quality of life in the resident halls by fostering community, providing support and being attentive to health, safety and security of residents. Applicants are selected on the basis of their concern for and ability to relate to others, sense of responsibility, leadership experience and potential, and ability to be an academic and personal role model (2.50 GPA at time of application and employment and no current disciplinary action). We encourage you to be candid in your ratings and statements concerning the applicant’s qualifications. Please provide concrete examples when possible and include relevant background information that would indicate potential success and areas of possible concern for the position. Please do not return this form to the applicant; this evaluation should be mailed or dropped off directly to the Student Services Office no later than WednesdayFebruary 24 by 5p.m.
Name of Reference (please print) ______
Relationship to Applicant (include title)______

Reference’s Ratings of the Applicant

Rate based on interactions with applicant

Personal Traits / Excellent / Good / Fair / Poor / N/A
Poised, Confident
Open-minded, clear and reasonable decision making
Honesty/Integrity
Acceptance of cultural and life style differences
Reactions to suggestion/criticism from others
Additional Comments:
Social Skills / Excellent / Good / Fair / Poor / N/A
Able to work with others
Able to self-express; communicate effectively
Responsibility skills; dependable
Social Sensitivity
Ability to handle emotional situations
Ability to handle conflict
Additional Comments:
Personal Traits / Excellent / Good / Fair / Poor / N/A
Organization
Attention to detail
Timeliness
Flexible
Dependable
Additional Comments:

Please add any information which you think should be considered that was not mentioned above.

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What is your overall rating of this applicant?

______Recommend ______Recommend with Reservations ______Do not recommend

Name (print) ______

Signature ______

Date ______