Deadline: November 14, 2016

Residence Life Office

Resident Assistant Reference Form

Applicant’s Name: ______

LastFirst Middle initial

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Thank you for your willingness to provide insights with respect to the candidate’s potential for an RA position at Luther College. Please fill out the form completely.

We are looking for individuals who are: responsible, articulate, from diverse backgrounds, open-minded, mature, and able to think creatively and constructively.

We are interested in hiring students who view college as a positive experience who want to help others and make the residence halls positive places to live. Finally, we try to select candidates who have a genuine respect for others, a good sense of humor, a willingness to grow and learn, and can abide by policies and expectations that guide community living at Luther College.

Section 1

Use the following scale to rank the candidate. The candidate possesses the characteristic at:

5=near optimal level 4=above average level 3=average level 2=below average level 1=minimal level N/A= no chance to observe

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The extent to which the candidate is confident in their self without being rigid or arrogant. / 5 4 3 2 1 N/A
The extent to which the candidate is approachable and can manage general social contacts and meaningful personal discussions / 5 4 3 2 1 N/A
The extent to which the candidate is willing to initiate contact with others in a positive, outgoing, and constructive manner / 5 4 3 2 1 N/A
The extent to which the candidate displays appropriate and useful problem-solving skills. / 5 4 3 2 1 N/A
The extent to which the candidate is accepting of people with different beliefs and lifestyles and can interact with them effectively. / 5 4 3 2 1 N/A
The extent to which the candidate displays effective listening skills and requests clarification when needed. / 5 4 3 2 1 N/A
The extent to which the candidate is willing to personally help others in dealing with their concerns. / 5 4 3 2 1 N/A
The extent to which the candidate understand the needs for regulation and policies within a community. / 5 4 3 2 1 N/A
The extent to which the candidate takes initiative and fulfills his/her obligations and responsibilities. / 5 4 3 2 1 N/A
The extent to which the candidate appears honorable and ethical. / 5 4 3 2 1 N/A
The extent to which the candidate can organize their thoughts and communicate them effectively to others. / 5 4 3 2 1 N/A
The extent to which the candidate is self-motivated. / 5 4 3 2 1 N/A

Section 2

In the spaces provided below, describe your overall impression of the suitability of this candidate as a Resident Assistant. Please include comments on both her/his personal assets or positive features and her/his areas for improvement.

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Describe how long, and in what capacity, you have known the candidate.

What do you consider to be the candidate’s most outstanding talents or characteristics?

What are the candidate’s main liabilities or weaknesses?

The selection committee would welcome any other comments you would like to make concerning the candidate’s potential as a Resident Assistant, especially concerning her/his leadership abilities and managerial style.

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Reference Name (please print)Signature

Candidate Waiver:

In compliance with the Family Educational Rights and Privacy Act of 1974, the candidate’s signature below signifies that she/he has waived her or his right to review this letter of evaluation, along with all materials in the candidate’s application file.

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Candidate SignatureDate

To return this recommendation form:

Return by November 14, 2016 to: Residence Life office, Luther College, 700 College Drive, Decorah, IA 52101, Phone (563) 387-1330, Fax (563) 387-1067,

E-mail