2020 Summer Program Counselor Reference Form
The referenced applicant is applying for a seasonal position as a program counselor with the AgriTREK/SciTREK/FNR-TREK Summer Institutes and AgDiscovery and GREP Summer Programs, all of which are two-week residential programs for 9th-12th grade students hosted by Tuskegee University. The programs expose the students to opportunities for minorities in research, personal enrichment and leadership development; individual growth and group cooperation is emphasized. The participants gain an appreciation and understanding of the sciences and the environment, as well as take part in recreational opportunities and take on new responsibilities while building a positive living community. We are interested in a frank appraisal of the applicant's motivation, ability to lead, and the quality of his or her work and school experience. Your evaluation is important and your observations will supplement the information received for the applicant. Please complete this form and attach additional sheets if necessary.
Name of Applicant Whom Reference is For *
How long have you known the applicant? *
In what capacity have you known the applicant? *
Concern for others *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Creativity *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Emotional Maturity *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Energy *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Honesty *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Leadership *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Motivation *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Organizational Ability *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Professional appearance *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Response to Criticism *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Self Discipline *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Sense of Humor *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Sound Judgement *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Speech/Communication *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Teaching Ability *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
Team Player *
How would you compare the applicants to his/her peers in terms of the above stated quality and behavior? (please check the most appropriate box)
What are the applicants strengths and weaknesses? What are the first words that come to mind to describe the personality of the applicant? *
Additional comments or insight, if applicable
Name of Person Providing Reference (YOU) *
Telephone Number *
Email Address *
Date *
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