Resident Advisor Reference Form

Please fill out the following RA reference form. Your feedback is essential to our Resident Advisor selection process; we greatly appreciate your input.

Residential Life: RA Reference Form

If you are human, leave this field blank.

Applicant Info

Student Applicant's First Name *

Student Applicant's Last Name *

Student ID *

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Reference Info

Your First Name *

Your Last Name *

Title or Position *

Email *

Phone

Address

Would you recommend this student for a RA position? *

Yes

No

Perhaps...

Comments for reservations in recommending the applicant

Please feel free to list here any possible areas of weakness to consider in our selection.

How long have you known the applicant?

In what capacity have you known the applicant?

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Applicant Evaluation

Leadership * Select... Exceptional Strong Good Needs Improvement Not Applicable

Initiative * Select... Exceptional Strong Good Needs Improvement Not Applicable

Enthusiasm * Select... Exceptional Strong Good Needs Improvement Not Applicable

Responsibility * Select... Exceptional Strong Good Needs Improvement Not Applicable

Diversity Awareness * Select... Exceptional Strong Good Needs Improvement Not Applicable

Maturity * Select... Exceptional Strong Good Needs Improvement Not Applicable

Communication * Select... Exceptional Strong Good Needs Improvement Not Applicable

Administrative Ability * Select... Exceptional Strong Good Needs Improvement Not Applicable

Additional Comments

Upload Letter of Recommendation (optional)

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