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Residence Life and Orientation

Student Staff Reference Form 2013-2014

Home › Campus Offices › Residence Life and Orientation › Student Staff Selection 2013-2014 › Student Staff Reference Form 2013-2014

To be completed by individual serving as a reference for the Student Staff 2013-2014 Candidate

Thank you sharing your experience with the candidate applying for Student Staff. Feel free to consult the Student Adviser position description or Hall Wellness Coordinator position description for a more detailed description of the job responsibilities of a Student Staff member.

We recommend that this form should take no longer than 10-15 minutes to complete. If you have any questions, please don't hesitate to contact Becca Don at donb@grinnell.edu.

Please note that your responses will be submitted once you hit "Submit". Consider saving your responses in a separate document before completing the application.

Your Name: *

Your Email Address: *

Candidate Name: *

Candidate is applying for the following position(s) (select all that apply): *

Student Adviser (SA)

Hall Wellness Coordinator (HWC)

In what capacity do you know the candidate?: *

How long have you known the candidate?: *

In your opinion, how well you know the candidate?: *

Very Well

Fairly Well

General Acquaintance

Do Not Know Well

Please speak generally to the strengths and areas of growth of the candidate:

Please rate the candidate according to the criteria listed below. You are encouraged to support your ratings with comments.

1. The candidate is mature, dependable and has adjusted well to Grinnell:

1. Comments:

2. The candidate is perceptive and sensitive to the needs of others:

2. Comments:

3. The candidate accepts values and ways of living that are different from her/his/hir own:

3. Comments:

4. The candidate is aware of how her/his/hir behavior is perceived by others:

4. Comments:

5. The candidate is flexible and adapts well to change:

5. Comments:

6. The candidate is self-motivated and takes initiative:

6. Comments:

7. The candidate is approachable and listens well:

7. Comments:

8. The candidate communicates well in a multicultural environment:

8. Comments:

9. The candidate is organized and manages her/his/hir time well:

9. Comments:

10. The candidate is trustworthy and will maintain confidentiality:

10. Comments:

Please indicate your overall rating of this candidate:

HIGHLY RECOMMEND. This candidate possesses the necessary skills required for a student leadership position and would need minimal training

RECOMMEND. This candidate possesses most of the necessary skills and may need some additional training.

RECOMMEND WITH RESERVATIONS. This candidate possesses some of the necessary skills and will need thorough training in many areas.

DO NOT RECOMMEND. This candidate lacks the necessary skills and/or motivation required for the position.

Thank you for taking the time to offer your valuable feedback. Please feel free to contact Becca Don donb@grinnell.edu with any questions.

Residence Life and Orientation

Office of Admission

Residence Life
Grinnell College
Joe Rosenfield '25 Student Center
1115 8th Avenue
Grinnell, IA 50112-1670
641-269-3713
Fax: 641-269-3710

To:

Name:

E-mail:

Subject:

Message: *

By submitting this form, you accept the Mollom privacy policy.

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