Marywood University

Thank you for taking the time to complete this electronic reference form. Please submit this completed reference form no later than Monday, February 12, 2018 at 3 p.m. Should you like to request a paper copy of this form, please contact the Housing & Residence Life office (Liberal Arts Center 227), at (570) 348-6236 or

Applicant's Name *
Whom are you completing this reference for?
Your answer
What is your name? *
Your answer
What is your position/title? *
Your answer
What is your phone number? *
Your answer
Do you have an alternate phone number?
Your answer
What is your e-mail address? *
Your answer
What is your relationship to the applicant? *
Your answer
How long have you known the applicant? *
Your answer
The applicant you have indicated above will be applying for a Resident Assistant position in the Housing & Residence Life office at Marywood University. As a staff member and student, the person who assumes this responsibility is in a unique position to assist other students in their personal growth and development by:
(1) Helping and advising students individually and in groups, (2) Providing opportunities for the continuous growth and development of students through programming and community development, (3) Assisting in the administration of the residence hall or apartment building, (4) Supporting and implementing Marywood Core Values and policies, (5) Striving to make campus living a meaningful experience, and (6) Challenging students to learn and expand their views on issues of diversity. The successful RA possesses a high degree of maturity, integrity, and flexibility and has the potential to be a strong leader and role model for other students. S/he must also be able to communicate effectively with others.
Appraisal for Applicant - Please evaluate the candidate on each of the following characteristics listed below by using the following: 5=Excellent, 4=Above average, 3=Average, 2=Minimally acceptable, 1=Not acceptable, N/A= Not applicable (no information available in this area) *
N/A - Not Applicable
1 - Not Acceptable
2 - Minimally Acceptable
3 - Average
4 - Above Average
5 - Excellent
Decision Making
Open Mindedness
Emotional Stability
Oral Communication
Written Communication
Handling Conflict
Attitude Toward Diverse Populations
Would you hire this person? *
Please describe your observations about this applicant in regard to working with peers/colleagues. *
Your answer
What are some strengths and limitations of the applicant? How would they possibly affect him/her in the Resident Assistant position? *
Your answer
Do you have any additional comments?
Your answer
Your initials in this box will indicate your official electronic signature and submission of this electronic recommendation. *
Your answer
The Housing & Residence Life office affirms the concept of human rights and dignity and is committed to providing leadership in taking action to assure equal educational and employment rights for all persons.
Thank you for taking the time to complete this electronic reference form. Should there be any questions or concerns, please do not hesitate to contact our office at (570) 348-6236 or
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